Healthcare Provider Details

I. General information

NPI: 1750490363
Provider Name (Legal Business Name): ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT OF SANTA CLARA COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 MOORPARK AVE SUITE 319
SAN JOSE CA
95128
US

IV. Provider business mailing address

2400 MOORPARK AVE SUITE 319
SAN JOSE CA
95128
US

V. Phone/Fax

Practice location:
  • Phone: 408-975-2763
  • Fax: 408-975-2764
Mailing address:
  • Phone: 408-975-2763
  • Fax: 408-975-2764

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SARITA KOHLI
Title or Position: PRESIDENT & CEO
Credential: LMFT, MBA
Phone: 408-975-2730