Provider Demographics
NPI:1851707418
Name:HAND OF PASSION
Entity Type:Organization
Organization Name:HAND OF PASSION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:LOSITO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, CISM, CADDAC
Authorized Official - Phone:877-867-8556
Mailing Address - Street 1:PO BOX 583152
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-0055
Mailing Address - Country:US
Mailing Address - Phone:877-867-8556
Mailing Address - Fax:
Practice Address - Street 1:2112 CENTURY PARK LN UNIT 218
Practice Address - Street 2:
Practice Address - City:CENTURY CITY
Practice Address - State:CA
Practice Address - Zip Code:90067-3314
Practice Address - Country:US
Practice Address - Phone:877-867-8556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-03
Last Update Date:2014-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No282J00000XHospitalsReligious Nonmedical Health Care Institution
No286500000XHospitalsMilitary Hospital
No305R00000XManaged Care OrganizationsPreferred Provider Organization