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
1	251S00000X	Community/Behavioral Health Agency	37H5	CA

Other Identifiers

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

General Provider Information

NPI Number	:	1689897100
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY RESEARCH FOUNDATION INC

Provider Business Mailing Address
First Line	:	7917 OSTROW ST STE A
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92111-3604
Country	:	US
Telephone Number	:	858-300-8282
Fax Number	:	858-300-8284

Provider Business Practice Location Address
First Line	:	7917 OSTROW ST STE A
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92111-3604
Country	:	US
Telephone Number	:	858-300-8282
Fax Number	:	858-300-8284

Authorized Official
Title or Position	:	CFO
Name	:	MR. BOB MARCHETTI
Credential	:
Telephone Number	:	619-275-0822

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	07/29/2021

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