Healthcare Provider Details

I. General information

NPI: 1467161018
Provider Name (Legal Business Name): UNITED AMERICAN INDIAN INVOLVEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2022
Last Update Date: 11/22/2022
Certification Date: 11/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1453 W TEMPLE STREET
LOS ANGELES CA
90026
US

IV. Provider business mailing address

1453 W TEMPLE STREET
LOS ANGELES CA
90026
US

V. Phone/Fax

Practice location:
  • Phone: 213-202-3970
  • Fax:
Mailing address:
  • Phone: 213-202-3970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: ANA CRUZ
Title or Position: BILLER
Credential:
Phone: 213-202-3970