1275777450 NPI number — UNITED AMERICAN INDIAN INVOLVEMENT

Table of content: OSCAR ALEJANDRO BARAHONA COFFIN NP (NPI 1811704638)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275777450 NPI number — UNITED AMERICAN INDIAN INVOLVEMENT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNITED AMERICAN INDIAN INVOLVEMENT
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:
1275777450
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/01/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1125 WEST 6TH STREET
Provider Second Line Business Mailing Address:
SUITE 103
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90017-1896
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
213-202-3970
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1535 E SHAW AVE
Provider Second Line Business Practice Location Address:
SUITE 105
Provider Business Practice Location Address City Name:
FRESNO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93710-8012
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-320-0490
Provider Business Practice Location Address Fax Number:
559-320-0494
Provider Enumeration Date:
05/01/2009

Additional Information

Authorized Official

Authorized Official Last Name:
RAMEBAU
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
L
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
213-202-3970

Provider Taxonomy Codes

  • Taxonomy code: 251B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 251J00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





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