Provider Demographics
NPI:1811207806
Name:AMERICAN LUNG ASSOCIATION IN CALIFORNIA
Entity Type:Organization
Organization Name:AMERICAN LUNG ASSOCIATION IN CALIFORNIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT, FINANCE & ADMIN
Authorized Official - Prefix:MS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-638-5864
Mailing Address - Street 1:424 PENDLETON WAY
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94621-2116
Mailing Address - Country:US
Mailing Address - Phone:510-638-5864
Mailing Address - Fax:510-638-8984
Practice Address - Street 1:424 PENDLETON WAY
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94621-2116
Practice Address - Country:US
Practice Address - Phone:510-638-5864
Practice Address - Fax:510-638-8984
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMERICAN LUNG ASSOCIATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-10-08
Last Update Date:2010-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable