Provider Demographics
NPI:1427363365
Name:HMONG WOMEN'S HERITAGE ASSOCIATION
Entity Type:Organization
Organization Name:HMONG WOMEN'S HERITAGE ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PA
Authorized Official - Middle Name:KOU
Authorized Official - Last Name:VANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-394-1405
Mailing Address - Street 1:2245 FLORIN RD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95822-4401
Mailing Address - Country:US
Mailing Address - Phone:916-394-1405
Mailing Address - Fax:916-392-9326
Practice Address - Street 1:2245 FLORIN RD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95822-4401
Practice Address - Country:US
Practice Address - Phone:916-394-1405
Practice Address - Fax:916-392-9326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-16
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health