Organization
CALIFORNIA HISPANIC COMMISSION ON ALCOHOL AND DRUG ABUSE, INC.
Active
Parent organization
CALIFORNIA HISPANIC COMMISSION ON ALCOHOL
Organization subpart
Yes
Provider details
NPI number
Legal business name
CALIFORNIA HISPANIC COMMISSION ON ALCOHOL
Authorized official
MR. JAMES HERNANDEZ (EXECUTIVE DIRECTOR)
(916) 443-5473
Entity
Organization
Contact information
Practice address
2607 COLORADO BOULEVARD, LOS ANGELES, CA 90041
(323) 222-4591
(323) 222-4614
Mailing address
1901 ROYAL OAKS DRIVE, SUITE 101, SACRAMENTO, CA 95815
(916) 443-5473
(916) 307-5900
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7519
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
06/22/2007
Last updated
07/27/2018
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