MEDICARE: NATIONAL CENTER FOR DEAF ADVOCACY

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

General Provider Information

NPI Number	:	1881900819
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATIONAL CENTER FOR DEAF ADVOCACY

Provider Business Mailing Address
First Line	:	1122 BROADWAY FL 2
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-5615
Country	:	US
Telephone Number	:	858-410-1067
Fax Number	:

Provider Business Practice Location Address
First Line	:	1122 BROADWAY FL 2
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-5615
Country	:	US
Telephone Number	:	858-410-1067
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. ALLISON SEPULVEDA
Credential	:
Telephone Number	:	858-410-1067

Provider Enumeration Date	:	08/27/2010
Last Update Date	:	08/27/2010

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