Provider Demographics
NPI:1811081698
Name:CASA DE LA FAMILIA
Entity type:Organization
Organization Name:CASA DE LA FAMILIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAMMATIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:PALMA-ROJAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-611-2272
Mailing Address - Street 1:PO BOX 27310
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92809-0110
Mailing Address - Country:US
Mailing Address - Phone:877-611-2272
Mailing Address - Fax:714-758-1432
Practice Address - Street 1:1650 E 4TH ST STE 101
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-5159
Practice Address - Country:US
Practice Address - Phone:877-611-2272
Practice Address - Fax:714-758-1432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48084958251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA48084958OtherNONPROFIT