Provider Demographics
NPI:1992183578
Name:HOMELESS CHILDREN'S NETWORK
Entity Type:Organization
Organization Name:HOMELESS CHILDREN'S NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STUDENT IN HEALTHCARE
Authorized Official - Prefix:MISS
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:NATASHA
Authorized Official - Last Name:LAGRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-437-3990
Mailing Address - Street 1:1545 FLORIBUNDA AVE APT 201
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-3869
Mailing Address - Country:US
Mailing Address - Phone:650-773-6576
Mailing Address - Fax:
Practice Address - Street 1:3450 3RD ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94124-1443
Practice Address - Country:US
Practice Address - Phone:415-437-3990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-14
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health