Provider Demographics
NPI:1750625505
Name:ASPIRANET
Entity type:Organization
Organization Name:ASPIRANET
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPANY OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:WESTON
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGE
Authorized Official - Suffix:I
Authorized Official - Credentials:LCSW
Authorized Official - Phone:209-668-6188
Mailing Address - Street 1:588 BLOSSOM HILL RD
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-3200
Mailing Address - Country:US
Mailing Address - Phone:408-728-0486
Mailing Address - Fax:408-629-5709
Practice Address - Street 1:588 BLOSSOM HILL RD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123-3200
Practice Address - Country:US
Practice Address - Phone:408-728-0486
Practice Address - Fax:408-629-5709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-18
Last Update Date:2012-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 51268261QD1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA51268OtherLMFC