1730359845 NPI number — CALIFORNIA HISPANIC COMMISSION

Table of content: (NPI 1730359845)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730359845 NPI number — CALIFORNIA HISPANIC COMMISSION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CALIFORNIA HISPANIC COMMISSION
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:
1730359845
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/04/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2101 CAPITOL AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SACRAMENTO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95816-5720
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
916-443-5473
Provider Business Mailing Address Fax Number:
916-443-1732

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
40 ELDRIDGE AVE STE 10A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VACAVILLE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95688-6823
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
707-449-8014
Provider Business Practice Location Address Fax Number:
707-449-8750
Provider Enumeration Date:
03/04/2008

Additional Information

Authorized Official

Authorized Official Last Name:
HERNANDEZ
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
916-443-5473

Provider Taxonomy Codes

  • Taxonomy code: 324500000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com