Provider Demographics
NPI:1184073710
Name:HEALTH EDUCATION ADVOCACY LEADERSHIP
Entity type:Organization
Organization Name:HEALTH EDUCATION ADVOCACY LEADERSHIP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DARLING
Authorized Official - Middle Name:
Authorized Official - Last Name:PAUL-RICHIEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, MSPH, FNP-BC
Authorized Official - Phone:619-501-5511
Mailing Address - Street 1:31670 FOX GRAPE DR
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:CA
Mailing Address - Zip Code:92596-9503
Mailing Address - Country:US
Mailing Address - Phone:619-501-5511
Mailing Address - Fax:
Practice Address - Street 1:4276 54TH PL STE C
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92115-6011
Practice Address - Country:US
Practice Address - Phone:619-501-5511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-04
Last Update Date:2018-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251V00000XAgenciesVoluntary or CharitableGroup - Multi-Specialty
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Multi-Specialty