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Organization
MDNP PROVIDERS
Active
Organization
MDNP PROVIDERS
Active
Parent organization
COMMUNITY HEALTH ALLIED SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HEALTH ALLIED SERVICES LLC
Authorized official
GINA CASTROMAYOR (PRESIDENT)
(714) 408-6522
Entity
Organization
Contact information
Practice address
596 N LAKE AVE, SUITE 203, PASADENA, CA 91101-1455
(626) 272-5943
Mailing address
596 N LAKE AVE, SUITE 203, PASADENA, CA 91101-1455
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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