Provider Demographics
NPI:1083624423
Name:EL PROYECTO DEL BARRIO,INC
Entity Type:Organization
Organization Name:EL PROYECTO DEL BARRIO,INC
Other - Org Name:EL PROYECTO DEL BARRIO/FAMILY HEALTH CARE CLINIC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CORINNE
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:818-830-7133
Mailing Address - Street 1:8902 WOODMAN AVE
Mailing Address - Street 2:
Mailing Address - City:ARLETA
Mailing Address - State:CA
Mailing Address - Zip Code:91331-6401
Mailing Address - Country:US
Mailing Address - Phone:818-830-7133
Mailing Address - Fax:818-830-7033
Practice Address - Street 1:8902 WOODMAN AVE
Practice Address - Street 2:
Practice Address - City:ARLETA
Practice Address - State:CA
Practice Address - Zip Code:91331-6401
Practice Address - Country:US
Practice Address - Phone:818-830-7133
Practice Address - Fax:818-830-7033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA960000688261QF0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABCP70468FOtherCDC PROGRAM
CAEAP70468FOtherEAPC PROGRAM
CAHAP70468FOtherFAM PLAN PROGRAM
CAFHC70468FMedicaid
CAHAP70468FOtherFAM PLAN PROGRAM
CAHAP70468FOtherFAM PLAN PROGRAM