1720130412 NPI number — ST. ELIZABETH ANN SETON NEW LIFE CENTER

Table of content: (NPI 1720130412)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720130412 NPI number — ST. ELIZABETH ANN SETON NEW LIFE CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ST. ELIZABETH ANN SETON NEW LIFE CENTER
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:
1720130412
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/12/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1500 SOUTHGATE AVE
Provider Second Line Business Mailing Address:
SUITE 112
Provider Business Mailing Address City Name:
DALY CITY
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94015-2259
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
650-301-8875
Provider Business Mailing Address Fax Number:
650-301-8880

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1500 SOUTHGATE AVE
Provider Second Line Business Practice Location Address:
SUITE 112
Provider Business Practice Location Address City Name:
DALY CITY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94015-2259
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
650-301-8875
Provider Business Practice Location Address Fax Number:
650-301-8880
Provider Enumeration Date:
01/16/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MENDOZA
Authorized Official First Name:
MARGARITA
Authorized Official Middle Name:
Authorized Official Title or Position:
PROGRAM COORDINATOR
Authorized Official Telephone Number:
650-301-8875

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: GR0094560 . This is a "MEDI-CAL" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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