1639635154 NPI number — LOVE FOCUS INTERNATIONAL ASSOCIATION LFIA

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639635154 NPI number — LOVE FOCUS INTERNATIONAL ASSOCIATION LFIA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LOVE FOCUS INTERNATIONAL ASSOCIATION LFIA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1639635154
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/02/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 3704
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MERCED
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95344-3704
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
209-869-5800
Provider Business Mailing Address Fax Number:
866-310-8868

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
108 W ALEXANDER AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MERCED
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95348-3410
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
209-233-9024
Provider Business Practice Location Address Fax Number:
866-310-8868
Provider Enumeration Date:
02/20/2019

Additional Information

Authorized Official

Authorized Official Last Name:
NKWOPARA
Authorized Official First Name:
THEOPHILUS
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO/INFORMATION TECHNOLOGY DIRECTOR
Authorized Official Telephone Number:
209-869-5800

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YP2500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 163WC0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 164X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251C00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3104A0630X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 320900000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 374K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 171M00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 285790 . This is a "BVN AND PSYCHIATRIC TECHNICIANS" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 247207212 . This is a "FACILITY" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 768074 . This is a "CALIFORNIA BOARD OF REGISTEREDNURSING - BRN" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 65927 . This is a "BBS/LICENSED CLINICAL SOCIAL WORKER" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 851729 . This is a "CALIFORNIA BOARD OF REGISTEREDNURSING - BRN" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 289669 . This is a "BVN AND PSYCHIATRIC TECHNICIANS" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: C3791162 . This is a "SECRETARY OF STATE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: C4564277 . This is a "SECRETARY OF STATE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 813953 . This is a "CALIFORNIA BOARD OF REGISTEREDNURSING - BRN" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 279040 . This is a "B VN AND PSYCHIATRIC TECHNICIANS" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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