1144583667 NPI number — REACH PROJECT

Table of content: VERONICA TORO ARANA MD (NPI 1043907868)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144583667 NPI number — REACH PROJECT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
REACH PROJECT
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:
1144583667
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/29/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3385 MAIN ST
Provider Second Line Business Mailing Address:
SUITE B
Provider Business Mailing Address City Name:
OAKLEY
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94561-6017
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
925-679-2504
Provider Business Mailing Address Fax Number:
925-754-2002

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3385 MAIN ST
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
OAKLEY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94561-6017
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
925-679-2504
Provider Business Practice Location Address Fax Number:
925-754-2002
Provider Enumeration Date:
06/19/2012

Additional Information

Authorized Official

Authorized Official Last Name:
MARCHETTI
Authorized Official First Name:
MICKIE
Authorized Official Middle Name:
ANGELO
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
925-779-6908

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X , with the licence number:  070753 , 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)





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