State Of California Prison Industry Authority

LBN: State Of California Prison Industry Authority
State Of California Prison Industry Authority is an health care organization with primary practice located at 480 Alta Rd , San Diego CA 92179-0001. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. State Of California Prison Industry Authority can be contacted via phone (619) 661-6500, or through Shatzer, Earl C. via phone (916) 358-1721.

Contact Information

Primary practice address
480 Alta Rd San Diego CA 92179-0001
Phone: (619) 661-6500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shatzer, Earl C.
Phone: (916) 358-1721

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1356558001
LBN Legal business name State Of California Prison Industry Authority
DBA Doing business as
Authorized official Shatzer, Earl C.
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2007
Last updated Aug 22nd, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356558001 NPPES
California MEDICAID PIA000100

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