Provider Demographics
NPI:1326349689
Name:ASIAN PACIFIC DEVELOPMENT CENTER OF COLORADO
Entity Type:Organization
Organization Name:ASIAN PACIFIC DEVELOPMENT CENTER OF COLORADO
Other - Org Name:ASIAN PACIFIC DEVELOPMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:WANIFUCHI
Authorized Official - Suffix:
Authorized Official - Credentials:MNM
Authorized Official - Phone:303-365-2959
Mailing Address - Street 1:1825 YORK ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-1213
Mailing Address - Country:US
Mailing Address - Phone:303-393-0304
Mailing Address - Fax:303-388-1172
Practice Address - Street 1:1544 ELMIRA ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80010-2116
Practice Address - Country:US
Practice Address - Phone:303-365-2959
Practice Address - Fax:303-344-4599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-03
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center