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
5905 LAKE EARL DRIVE, CRESCENT CITY, CA 95531
(707) 465-1000
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
—
PIA000101
—
CA
Enumeration date
05/17/2007
Last updated
08/22/2020
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