Organization
PEER PROFESSIONALS OF CALIFORNIA
Active
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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