Provider Demographics
NPI:1982412813
Name:CALIFORNIA INSTITUE OF HEALTH & SOCIAL SERVICES, INC.
Entity type:Organization
Organization Name:CALIFORNIA INSTITUE OF HEALTH & SOCIAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-645-5227
Mailing Address - Street 1:8939 S SEPULVEDA BLVD STE 401
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-3646
Mailing Address - Country:US
Mailing Address - Phone:310-645-5227
Mailing Address - Fax:310-645-9840
Practice Address - Street 1:3756 SANTA ROSALIA DR STE 310
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90008-3615
Practice Address - Country:US
Practice Address - Phone:310-645-5227
Practice Address - Fax:310-645-9840
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CALIFORNIA INSTITUTE OF HEALTH & SOCIAL SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-12-23
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health