Provider Demographics
NPI:1699004762
Name:COMMUNITY SOLUTIONS
Entity Type:Organization
Organization Name:COMMUNITY SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DIEGO
Authorized Official - Middle Name:ARGENIS
Authorized Official - Last Name:SOTO OCHOA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-225-9243
Mailing Address - Street 1:248 RIO VISTA DR
Mailing Address - Street 2:
Mailing Address - City:KING CITY
Mailing Address - State:CA
Mailing Address - Zip Code:93930-3514
Mailing Address - Country:US
Mailing Address - Phone:831-385-6723
Mailing Address - Fax:
Practice Address - Street 1:5671 SANTA TERESA BLVD # 104
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123
Practice Address - Country:US
Practice Address - Phone:408-225-9163
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management