MEDICARE: COMMUNITY RESEARCH FOUNDATION INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	37B7	CA

General Provider Information

NPI Number	:	1568893212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY RESEARCH FOUNDATION INC

Provider Business Mailing Address
First Line	:	PO BOX 421141
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92142-1141
Country	:	US
Telephone Number	:	619-276-8112
Fax Number	:	619-276-8230

Provider Business Practice Location Address
First Line	:	4995 MURPHY CANYON RD STE 201
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-4365
Country	:	US
Telephone Number	:	619-276-8112
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	MR. BOB MARCHETTI
Credential	:
Telephone Number	:	619-275-0822

Provider Enumeration Date	:	12/06/2013
Last Update Date	:	07/10/2024

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