Provider Demographics
NPI:1972077899
Name:UNION OF PAN ASIAN COMMUNITIES
Entity Type:Organization
Organization Name:UNION OF PAN ASIAN COMMUNITIES
Other - Org Name:UPAC NEW LEAF RECOVERY CENTER SOUTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUNNYO
Authorized Official - Middle Name:
Authorized Official - Last Name:PAK
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:619-521-5720
Mailing Address - Street 1:1031 25TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92102-2194
Mailing Address - Country:US
Mailing Address - Phone:619-232-6454
Mailing Address - Fax:619-232-9002
Practice Address - Street 1:865 THIRD AVE STE 112
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91911-1300
Practice Address - Country:US
Practice Address - Phone:619-271-7992
Practice Address - Fax:619-271-7970
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNION OF PAN ASIAN COMMUNITIES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-14
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health