MEDICARE: MAAP 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	340004EN	CA

General Provider Information

NPI Number	:	1932242500
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAAP INC

Provider Business Mailing Address
First Line	:	3437 MYRTLE AVE
Second Line	:
City	:	NORTH HIGHLANDS
State	:	CA
Zip	:	95660-5145
Country	:	US
Telephone Number	:	916-338-6835
Fax Number	:

Provider Business Practice Location Address
First Line	:	3437 MYRTLE AVE
Second Line	:	405
City	:	NORTH HIGHLANDS
State	:	CA
Zip	:	95660-5145
Country	:	US
Telephone Number	:	916-338-6835
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. GEORGE DE LA MORA
Credential	:
Telephone Number	:	916-394-2320

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	08/13/2008

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