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1588700264 NPI number — LATINO COMMISSION ON ALCOHOL AND DRUG ABUSE SERVICES OF SAN MATEO COUN

NPI Number: 1588700264
Health Care Provider/Practitioner: LATINO COMMISSION ON ALCOHOL AND DRUG ABUSE SERVICES OF SAN MATEO COUN

Information about “1588700264” NPI (LATINO COMMISSION ON ALCOHOL AND DRUG ABUSE SERVICES OF SAN MATEO COUN) exists in 1588700264 in HTML format HTML  |  1588700264 in plain Text format TXT  |  1588700264 in PDF (Portable Document Format) PDF  |  1588700264 in an XML format XML  formats.

NPI Number : 1588700264 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588700264",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LATINO COMMISSION ON ALCOHOL AND DRUG ABUSE SERVICES OF SAN MATEO COUN",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1001 SNEATH LN STE 307",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN BRUNO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94066-2349",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "650-244-1444",
    "MailingAddressFaxNumber": "650-244-1447",
    "FirstLinePracticeLocationAddress": "1724 BRYANT ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN FRANCISCO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94110",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "415-558-9125",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/29/2007",
    "LastUpdateDate": "08/12/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CAMARILLO",
    "AuthorizedOfficialFirstName": "DEBRA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MISS",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "650-244-1442",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "3245S0500X",
        "TaxonomyName": "Children's Substance Abuse Rehabilitation Facility",
        "LicenseNumber": "380055BN",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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