Provider Demographics
NPI:1295017564
Name:MULTI ETHNIC COLLABORATION OF COMMUNITY AGENCIES
Entity Type:Organization
Organization Name:MULTI ETHNIC COLLABORATION OF COMMUNITY AGENCIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEJANDRO
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:TOVARES
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:562-335-4846
Mailing Address - Street 1:600 W SANTA ANA BLVD STE 108
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701-4582
Mailing Address - Country:US
Mailing Address - Phone:562-335-4846
Mailing Address - Fax:
Practice Address - Street 1:600 W SANTA ANA BLVD STE 108
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-4582
Practice Address - Country:US
Practice Address - Phone:562-335-4846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-13
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health