| County Of Orange | |
|
4000 W Metropolitan Dr Ste 402 Orange CA 92868-3504 | |
| (714) 954-2900 | |
| (714) 938-2012 |
| Full Name | County Of Orange |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 4000 W Metropolitan Dr Ste 402, Orange, California |
| Authorized Official Name and Position | Chi Rajalingam (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 7148345937 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Orange 405 W 5th St Ste 212 Santa Ana CA 92701-4522 Ph: (714) 568-5614 | County Of Orange 4000 W Metropolitan Dr Ste 402 Orange CA 92868-3504 Ph: (714) 954-2900 |
| NPI Number | 1598389371 |
|---|---|
| Provider Enumeration Date | 06/08/2020 |
| Last Update Date | 06/08/2020 |
| Certification Date | 06/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598389371 | NPI | - | NPPES |
| 30GQ | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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