Provider Demographics
NPI:1598344269
Name:CALIFORNIA AUTHORITY ON AGING RESOURCES AND EDUCATION SERVICES
Entity Type:Organization
Organization Name:CALIFORNIA AUTHORITY ON AGING RESOURCES AND EDUCATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:JENNINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-566-3700
Mailing Address - Street 1:3628 LYNOAK DR STE 104
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-3243
Mailing Address - Country:US
Mailing Address - Phone:909-566-3700
Mailing Address - Fax:
Practice Address - Street 1:3628 LYNOAK DR STE 104
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:CA
Practice Address - Zip Code:91711-3243
Practice Address - Country:US
Practice Address - Phone:909-566-3700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251300000XAgenciesLocal Education Agency (LEA)