| Orange County Health Care Agency | |
|
405 W 5th St Ste. 212 Santa Ana CA 92701-4519 | |
| (714) 480-6660 | |
| Not Available |
| Full Name | Orange County Health Care Agency |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 405 W 5th St, Santa Ana, California |
| Authorized Official Name and Position | Robin Rae Fontaine (LICENCED CLINICAL SOCIAL WORKER II) |
| Authorized Official Contact | 7144806660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orange County Health Care Agency 405 W 5th St Ste. 212 Santa Ana CA 92701-4519 Ph: (714) 480-6660 | Orange County Health Care Agency 405 W 5th St Ste. 212 Santa Ana CA 92701-4519 Ph: (714) 480-6660 |
| NPI Number | 1659482859 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659482859 | NPI | - | NPPES |
| SW21177 | Other | CA | SOCIAL WORKER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 21177 (California) | Primary |
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