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NPI 1124815394

NPI 1124815394 : ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT OF SANTA CLARA COUNTY : SAN JOSE, CA

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General NPI Number Information
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    NPI Number           |    1124815394
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    Entity Type          |    Organization 
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    Legal Business Name  |    ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT OF SANTA CLARA COUNTY 
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Dates
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    Enumeration Date     |    04/22/2025
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    Last Update Date     |    11/17/2025
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Provider Practice Location Address
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    Address Line         |    266 N JACKSON AVE STE 4 
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    City                 |    SAN JOSE
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    State                |    CA
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    Zip                  |    95116-1606
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    Country              |    US
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    Telephone            |    408-975-2763
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2400 MOORPARK AVE STE 300 
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    City                 |    SAN JOSE
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    State                |    CA
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    Zip                  |    95128-2680
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    Country              |    US
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    Telephone            |    408-975-2730
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    Fax                  |    
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Authorized Official
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    Title or Position    |    AO
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    Name                 |     SARITA U KOHLI 
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    Credential           |    
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    Telephone            |    408-975-2730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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