Provider Demographics
NPI:1497347769
Name:CALIFORNIA FORENSIC INSTITUTE
Entity Type:Organization
Organization Name:CALIFORNIA FORENSIC INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JANA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRICE-SHARPS
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:559-909-5527
Mailing Address - Street 1:5730 N 1ST ST STE 105-503
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-6200
Mailing Address - Country:US
Mailing Address - Phone:559-909-5527
Mailing Address - Fax:559-458-1624
Practice Address - Street 1:5730 N 1ST ST STE 105-503
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-6200
Practice Address - Country:US
Practice Address - Phone:559-909-5527
Practice Address - Fax:559-458-1624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-09
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)