Provider Demographics
NPI:1023135928
Name:MINORITY AIDS PROJECT
Entity type:Organization
Organization Name:MINORITY AIDS PROJECT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:P
Authorized Official - Last Name:MCKAMIE
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:323-936-4949
Mailing Address - Street 1:5149 W JEFFERSON BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90016-3836
Mailing Address - Country:US
Mailing Address - Phone:323-936-4949
Mailing Address - Fax:323-936-2044
Practice Address - Street 1:5149 W JEFFERSON BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90016-3836
Practice Address - Country:US
Practice Address - Phone:323-936-4949
Practice Address - Fax:323-936-2044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management