Provider Demographics
NPI:1265139950
Name:CHICANO FEDERATION OF SAN DIEGO COUNTY INC.
Entity type:Organization
Organization Name:CHICANO FEDERATION OF SAN DIEGO COUNTY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-285-5600
Mailing Address - Street 1:3180 UNIVERSITY AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92104
Mailing Address - Country:US
Mailing Address - Phone:619-285-5600
Mailing Address - Fax:619-285-5616
Practice Address - Street 1:3180 UNIVERSITY AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92104
Practice Address - Country:US
Practice Address - Phone:619-285-5600
Practice Address - Fax:619-285-5616
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHICANO FEDERATION OF SAN DIEGO COUNTY INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty