Provider Demographics
NPI:1093080293
Name:CALIFORNIA INSTITUE OF HEALTH & SOCIAL SERVICES, INC.
Entity Type:Organization
Organization Name:CALIFORNIA INSTITUE OF HEALTH & SOCIAL SERVICES, INC.
Other - Org Name:ALAFIA MENTAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CASE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DAISY
Authorized Official - Middle Name:
Authorized Official - Last Name:GALARZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-940-9094
Mailing Address - Street 1:8929 S SEPULVEDA BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-3643
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1331 W AVENUE J STE 202
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-2954
Practice Address - Country:US
Practice Address - Phone:661-940-9094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-21
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management