Organization
ACHIEVEKIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LIEZL TORREFIEL (TRAINEE)
(650) 494-1200
Entity
Organization
Contact information
Practice address
3860 MIDDLEFIELD RD, PALO ALTO, CA 94303-4716
(650) 494-1200
Mailing address
3860 MIDDLEFIELD ROAD, PALO ALTO, CA 94303
(650) 494-1200
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
106H0000X
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01AV
MEDICAL PROVIDER NUMBER
CA
Enumeration date
07/16/2008
Last updated
07/16/2008
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