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1548316631 NPI number — COASTSIDE OPPORTUNITY CENTER

NPI Number: 1548316631
Health Care Provider/Practitioner: COASTSIDE OPPORTUNITY CENTER

Information about “1548316631” NPI (COASTSIDE OPPORTUNITY CENTER) exists in 1548316631 in HTML format HTML  |  1548316631 in plain Text format TXT  |  1548316631 in PDF (Portable Document Format) PDF  |  1548316631 in an XML format XML  formats.

NPI Number : 1548316631 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548316631",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "COASTSIDE OPPORTUNITY CENTER",
    "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": "PO BOX 1089",
    "SecondLineMailingAddress": "99 AVE. ALHAMBRA",
    "MailingAddressCityName": "EL GRANADA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94018-1089",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "650-726-7096",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "99 AVE. ALHAMBRA",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EL GRANADA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94018",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "650-726-7096",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/25/2007",
    "LastUpdateDate": "07/21/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ALMAGER",
    "AuthorizedOfficialFirstName": "VIOLET",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "BILLING",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "650-726-9071",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "347B00000X",
        "TaxonomyName": "Bus",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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