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1235782590 NPI number — CALIFORNIA CENTERS FOR PSYCHIATRIC WELLNESS AND HEALTH

NPI Number: 1235782590
Health Care Provider/Practitioner: CALIFORNIA CENTERS FOR PSYCHIATRIC WELLNESS AND HEALTH

Information about “1235782590” NPI (CALIFORNIA CENTERS FOR PSYCHIATRIC WELLNESS AND HEALTH) exists in 1235782590 in HTML format HTML  |  1235782590 in plain Text format TXT  |  1235782590 in PDF (Portable Document Format) PDF  |  1235782590 in an XML format XML  formats.

NPI Number : 1235782590 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235782590",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CALIFORNIA CENTERS FOR PSYCHIATRIC WELLNESS AND HEALTH",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "29911 NIGUEL RD UNIT 6305",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAGUNA NIGUEL",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92607-2412",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "800-351-0966",
    "MailingAddressFaxNumber": "800-674-7207",
    "FirstLinePracticeLocationAddress": "160 N DATE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ESCONDIDO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92025-3406",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "800-674-2019",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/16/2019",
    "LastUpdateDate": "12/29/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KHATIBI",
    "AuthorizedOfficialFirstName": "PARMIS",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "800-351-0966",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "333600000X",
        "TaxonomyName": "Pharmacy",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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