Healthcare Provider Details

I. General information

NPI: 1679617161
Provider Name (Legal Business Name): ASPIRANET
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2007
Last Update Date: 12/03/2020
Certification Date: 12/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 E CARNEGIE DR STE 250
SAN BERNARDINO CA
92408-3589
US

IV. Provider business mailing address

400 OYSTER POINT BLVD SUITE 501
SOUTH SAN FRANCISCO CA
94080-1904
US

V. Phone/Fax

Practice location:
  • Phone: 909-963-5377
  • Fax:
Mailing address:
  • Phone: 650-866-4080
  • Fax: 650-866-4082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number366405653
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number415200481
License Number StateCA

VIII. Authorized Official

Name: MR. VERNON BROWN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 650-866-4080