MEDICARE: UNION OF PAN ASIAN COMMUNITIES

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		CA

General Provider Information

NPI Number	:	1861606956
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNION OF PAN ASIAN COMMUNITIES

Provider Business Mailing Address
First Line	:	1031 25TH ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92102-2102
Country	:	US
Telephone Number	:	619-232-6454
Fax Number	:

Provider Business Practice Location Address
First Line	:	8745 AERO DR STE 330
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-1763
Country	:	US
Telephone Number	:	619-578-2211
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT CEO
Name	:	MARGARET IWANAGA PENROSE
Credential	:
Telephone Number	:	619-232-6454

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	01/28/2024

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