Provider Demographics
NPI:1881143154
Name:ASPIRANET
Entity type:Organization
Organization Name:ASPIRANET
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BORELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-576-1750
Mailing Address - Street 1:2248 OBISPO AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SIGNAL HILL
Mailing Address - State:CA
Mailing Address - Zip Code:90755-4026
Mailing Address - Country:US
Mailing Address - Phone:310-535-1500
Mailing Address - Fax:562-495-7137
Practice Address - Street 1:2248 OBISPO AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:SIGNAL HILL
Practice Address - State:CA
Practice Address - Zip Code:90755-4026
Practice Address - Country:US
Practice Address - Phone:213-550-2634
Practice Address - Fax:562-495-7137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-28
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA197804590251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health