Organization
STATE OF CALIFORNIA PRISON INDUSTRY AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EARL C. SHATZER (BRANCH MANAGER)
(916) 358-1721
Entity
Organization
Contact information
Practice address
480 ALTA RD, SAN DIEGO, CA 92179-0001
(619) 661-6500
Mailing address
PO BOX 127, NAPA, CA 94559-0127
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PIA000100
—
CA
Enumeration date
05/16/2007
Last updated
08/22/2020
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