Healthcare Provider Details

I. General information

NPI: 1578696365
Provider Name (Legal Business Name): ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1299 BRYANT AVE ALTA VISTA HIGH SCHOOL
MOUNTAIN VIEW CA
94040-4527
US

IV. Provider business mailing address

2400 MOORPARK AVE SUITE 300
SAN JOSE CA
95128-2631
US

V. Phone/Fax

Practice location:
  • Phone: 408-975-2730
  • Fax: 408-975-2745
Mailing address:
  • Phone: 408-975-2730
  • Fax: 408-975-2745

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHELE LEW
Title or Position: PRESIDENT & CEO
Credential:
Phone: 408-975-2730