Provider Demographics
NPI:1932314184
Name:ASIAN PACIFIC COMMUNITY COUNSELING
Entity Type:Organization
Organization Name:ASIAN PACIFIC COMMUNITY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:YAMINI
Authorized Official - Middle Name:L
Authorized Official - Last Name:MALROUTU
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:916-383-6783
Mailing Address - Street 1:7273 14TH AVE
Mailing Address - Street 2:SUITE 120-B
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95820
Mailing Address - Country:US
Mailing Address - Phone:916-383-6783
Mailing Address - Fax:916-383-8488
Practice Address - Street 1:7273 14TH AVE
Practice Address - Street 2:SUITE 120-B
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95820
Practice Address - Country:US
Practice Address - Phone:916-383-6783
Practice Address - Fax:916-383-8488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health