Organization
PEER PROFESSIONALS OF CALIFORNIA
Active
Other names
Peer Professionals of California
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT TALMON FORTE CPPS (CEO)
(619) 732-9772
Entity
Organization
Contact information
Practice address
4181 RUFFIN RD STE 150, SAN DIEGO, CA 92123-1876
(619) 292-9490
Mailing address
266 LANDIS AVE APT D, CHULA VISTA, CA 91910-2642
(619) 732-9972
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5634580
COMMUNITY HEALTH WORKER
CA
Enumeration date
07/02/2024
Last updated
10/28/2024
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