CORDILLERAS NPI 1033699772

NPI Information

NPI: 1033699772
Provider Name: CORDILLERAS
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
200 EDMONDS RD
REDWOOD CITY, CA
ZIP 94062
Phone: (650) 367-1890
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CORDILLERAS is a mental health counselor in Redwood City, CA. CORDILLERAS NPI is 1033699772. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

200 EDMONDS RD
REDWOOD CITY, CA
ZIP 94062-813
Phone: (650) 367-1890

The provider's authorized official is Marianne B Mendoza .
The authorized official title is Residential Social Worker and has the following contact phone number (650) 367-1890.

The CLIA number assigned to this NPI record is 05D0715109 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/21/2018 and was last updated on 8/21/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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