Healthcare Provider Details

I. General information

NPI: 1184016909
Provider Name (Legal Business Name): THE FOUNDATION FOR INTEGRATED HOUSING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2015
Last Update Date: 03/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2134 W SUNSET BLVD STE 128
LOS ANGELES CA
90026-3192
US

IV. Provider business mailing address

2134 W SUNSET BLVD STE 128
LOS ANGELES CA
90026-3192
US

V. Phone/Fax

Practice location:
  • Phone: 855-899-7666
  • Fax:
Mailing address:
  • Phone: 855-899-7666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: KARINA CRUZ
Title or Position: VP OPERATION
Credential:
Phone: 855-899-7666