Healthcare Provider Details

I. General information

NPI: 1487975876
Provider Name (Legal Business Name): FEDERATION OF FILIPINO AMERICAN ASSOCIATIONS,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2010
Last Update Date: 06/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2125 SANTA FE AVE
LONG BEACH CA
90810-3547
US

IV. Provider business mailing address

2125 SANTA FE AVE
LONG BEACH CA
90810-3547
US

V. Phone/Fax

Practice location:
  • Phone: 562-570-4489
  • Fax:
Mailing address:
  • Phone: 562-570-4489
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number01936409
License Number StateCA

VIII. Authorized Official

Name: DR. LEONARDO P. PANDAC
Title or Position: PRESIDENT CEO
Credential: PH.D.
Phone: 562-570-4489