Impact

LBN: Community Research Foundation
Impact is an health care organization with primary practice located at 1202 Morena Blvd Suite 101, San Diego CA 92110-3841. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Community Research Foundation can be contacted via phone (619) 398-0355, or through Marchetti, Bob via phone (619) 275-0822.

Contact Information

Primary practice address
1202 Morena Blvd Suite 101 San Diego CA 92110-3841
Phone: (619) 398-0355
Fax: (619) 398-0355
Website:
Map and Directions
Authorized official contact:
Name: Marchetti, Bob
Phone: (619) 275-0822

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 37JC California

Profile Details

NPI number 1740642008
LBN Legal business name Community Research Foundation
DBA Doing business as Impact
Authorized official Marchetti, Bob
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2016
Last updated Mar 25th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1740642008 NPPES
California MEDICAID 37JC

Popular Providers