| |
1002 N Fairview St, Santa Ana, CA 92703-1811 | |
(714) 835-8501 | |
(714) 835-3912 |
Full Name | |
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Type | Facility |
Speciality | Family Medicine |
Location | 1002 N Fairview St, Santa Ana, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477554020 | NPI | - | NPPES |
GR0077869 | Medicaid | CA |
Mailing Address | Practice Location Address |
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P.o. Box 6400, Torrance, CA 90504-6400 Ph: (310) 783-5552 | 1002 N Fairview St, Santa Ana, CA 92703-1811 Ph: (714) 835-8501 |