Amhs Clarvida Camino Nuevo | |
2001 E 4th St Ste 200&205 Santa Ana CA 92705-3916 | |
(714) 824-8144 | |
(714) 824-8141 |
Full Name | Amhs Clarvida Camino Nuevo |
---|---|
Speciality | Community/behavioral Health |
Location | 2001 E 4th St Ste 200&205, Santa Ana, California |
Authorized Official Name and Position | Tracy Ginter (DIRECTOR OF STATE OPERATIONS) |
Authorized Official Contact | 6574659497 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Amhs Clarvida Camino Nuevo 8337 Telegraph Rd Ste 300 Pico Rivera CA 90660-4957 Ph: (562) 467-5440 | Amhs Clarvida Camino Nuevo 2001 E 4th St Ste 200&205 Santa Ana CA 92705-3916 Ph: (714) 824-8144 |
NPI Number | 1235274804 |
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Provider Enumeration Date | 02/21/2007 |
Last Update Date | 06/20/2024 |
Certification Date | 06/20/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235274804 | NPI | - | NPPES |
30DK | Other | CA | MEDI-CAL PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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