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NPI Code Detail

MEDICARE: COMMUNITY RESEARCH FOUNDATION INC

MEDICARE: COMMUNITY RESEARCH FOUNDATION INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency37B7CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689792533
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY RESEARCH FOUNDATION INC
Provider Business Mailing Address
First Line : 1963 4TH AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92101-2394
Country : US
Telephone Number : 619-233-3432
Fax Number : 619-233-7022
Provider Business Practice Location Address
First Line : 1963 4TH AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92101-2394
Country : US
Telephone Number : 619-233-3432
Fax Number : 619-233-7022
Authorized Official
Title or Position : CFO
Name : MR. BOB MARCHETTI
Credential :
Telephone Number : 619-275-0822
Provider Enumeration Date : 03/27/2007
Last Update Date : 07/29/2021

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Directions to “COMMUNITY RESEARCH FOUNDATION INC ” Practice Location

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