Provider Demographics
NPI:1740631845
Name:AFRICAN COMMUNITIES PUBLIC HEALTH COALITION
Entity type:Organization
Organization Name:AFRICAN COMMUNITIES PUBLIC HEALTH COALITION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SENAIT
Authorized Official - Middle Name:
Authorized Official - Last Name:ADMASSU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-936-8085
Mailing Address - Street 1:3731 STOCKER ST
Mailing Address - Street 2:SUITE 211
Mailing Address - City:VIEW PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90008-5118
Mailing Address - Country:US
Mailing Address - Phone:213-909-0985
Mailing Address - Fax:213-929-5102
Practice Address - Street 1:3731 STOCKER ST
Practice Address - Street 2:SUITE 211
Practice Address - City:VIEW PARK
Practice Address - State:CA
Practice Address - Zip Code:90008-5118
Practice Address - Country:US
Practice Address - Phone:213-909-0985
Practice Address - Fax:213-929-5102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-29
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization