OrganizationActive
Ccwf
NPI 1790031995 · PACE Provider Organization · Lafayette, CA
Provider details
- NPI number
- 1790031995
- Entity type
- Organization
- Primary specialty
- PACE Provider OrganizationAgencies
- Organization subpart
- No
- Authorized official
- Donald De Zordo, Pharm D(559) 665-5531
- License
- RPH23059 (CA)
Specialties & taxonomies
Agencies
Practice location
3688 Boyer Cir
Lafayette, CA 94549-4904
Phone: (510) 910-7244
Approximate (ZIP-level) locationGet directions
Mailing address
3688 Boyer Cir
Lafayette, CA 94549-4904
Registry dates
- Enumerated
- 2012-07-25
- Last updated
- 2012-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.