Provider Demographics
NPI:1497186886
Name:CAMINAR
Entity Type:Organization
Organization Name:CAMINAR
Other - Org Name:PROJECT 90 - FRIENDSHIP HALL
Other - Org Type:Other Name
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:GIANUARIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-393-8937
Mailing Address - Street 1:411 BOREL AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94402-3525
Mailing Address - Country:US
Mailing Address - Phone:650-372-4080
Mailing Address - Fax:
Practice Address - Street 1:416 2ND AVE
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401
Practice Address - Country:US
Practice Address - Phone:650-333-4226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-10
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA410005VN261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center