Healthcare Provider Details

I. General information

NPI: 1275777450
Provider Name (Legal Business Name): UNITED AMERICAN INDIAN INVOLVEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2009
Last Update Date: 05/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1535 E SHAW AVE SUITE 105
FRESNO CA
93710-8012
US

IV. Provider business mailing address

1125 WEST 6TH STREET SUITE 103
LOS ANGELES CA
90017-1896
US

V. Phone/Fax

Practice location:
  • Phone: 559-320-0490
  • Fax: 559-320-0494
Mailing address:
  • Phone: 213-202-3970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: DAVID L RAMEBAU
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 213-202-3970