Healthcare Provider Details

I. General information

NPI: 1235749995
Provider Name (Legal Business Name): CALIFORNIA COALITION FOR HARM REDUCTION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2020
Last Update Date: 08/11/2020
Certification Date: 08/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3031 TELEGRAPH AVE
BERKELEY CA
94705-2051
US

IV. Provider business mailing address

1231 ASHBY AVE
BERKELEY CA
94702-2401
US

V. Phone/Fax

Practice location:
  • Phone: 484-432-2177
  • Fax:
Mailing address:
  • Phone: 484-432-2177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP0904X
TaxonomyFederal Public Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MIKAEL LANGNER
Title or Position: MEDICAL DIRECTOR
Credential:
Phone: 484-432-2177