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Contact Information

CALIFORNIA IMPACT COALITION FOUNDATION
2460 INCLINE CT
ANTIOCH, CA94531-8265
 Phone: 925-433-2791
 Fax: 925-433-2758
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Foster Care Agency

253J00000X
Indicates primary specialty

NPI Profile & details for CALIFORNIA IMPACT COALITION FOUNDATION

NPI Number 1386438893
LBN Legal business name CALIFORNIA IMPACT COALITION FOUNDATION
Authorized official MANDAVE SANDHU - (BOARD MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/08/2025
Last updated 04/08/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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