1720211915 NPI number — ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT OF SANTA CLARA COUNTY, INC

Table of content: (NPI 1720211915)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720211915 NPI number — ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT OF SANTA CLARA COUNTY, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT OF SANTA CLARA COUNTY, INC
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:
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:
1720211915
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/03/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2400 MOORPARK AVE
Provider Second Line Business Mailing Address:
SUITE 308
Provider Business Mailing Address City Name:
SAN JOSE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95128-2631
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
408-975-2730
Provider Business Mailing Address Fax Number:
408-975-2745

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6150 SNELL AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN JOSE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95123-4740
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
408-347-6200
Provider Business Practice Location Address Fax Number:
408-347-6215
Provider Enumeration Date:
09/03/2009

Additional Information

Authorized Official

Authorized Official Last Name:
LEW
Authorized Official First Name:
MICHELE
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT AND C.E.O.
Authorized Official Telephone Number:
408-975-2730

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  430042 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2024 www.npivalidator.com