Provider Demographics
NPI:1306114053
Name:STATE OF CALIFORNIA
Entity type:Organization
Organization Name:STATE OF CALIFORNIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OF MENTAL HEALTH
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:B
Authorized Official - Last Name:BINDLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:661-721-6300
Mailing Address - Street 1:3000 W. CECIL AVENUE
Mailing Address - Street 2:P.O. BOX 6000
Mailing Address - City:DELANO
Mailing Address - State:CA
Mailing Address - Zip Code:93216
Mailing Address - Country:US
Mailing Address - Phone:661-721-6300
Mailing Address - Fax:
Practice Address - Street 1:3000 WEST CECIL AVE.
Practice Address - Street 2:
Practice Address - City:DELANO
Practice Address - State:CA
Practice Address - Zip Code:93216-6000
Practice Address - Country:US
Practice Address - Phone:661-721-6300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-09
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY24002251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare