NPI Code Detail JSON Logo

1922379049 NPI number — THE SAN DIEGO LGBT COMMUNITY CENTER

NPI Number: 1922379049
Health Care Provider/Practitioner: THE SAN DIEGO LGBT COMMUNITY CENTER

Information about “1922379049” NPI (THE SAN DIEGO LGBT COMMUNITY CENTER) exists in 1922379049 in HTML format HTML  |  1922379049 in plain Text format TXT  |  1922379049 in PDF (Portable Document Format) PDF  |  1922379049 in an XML format XML  formats.

NPI Number : 1922379049 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922379049",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "THE SAN DIEGO LGBT COMMUNITY 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 3357",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN DIEGO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92163",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "619-692-2077",
    "MailingAddressFaxNumber": "619-260-3093",
    "FirstLinePracticeLocationAddress": "3909 CENTRE STREET",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN DIEGO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92103",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "619-692-2077",
    "PracticeLocationAddressFaxNumber": "619-260-3093",
    "EnumerationDate": "01/20/2012",
    "LastUpdateDate": "02/08/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BARNES",
    "AuthorizedOfficialFirstName": "ELIZABETH",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DIR. OF OPERATIONS",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LCSW",
    "AuthorizedOfficialTelephoneNumber": "619-692-2077",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": "16841",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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