| Pacific Clinics Orange Adult Op | |
|
1717 W Orangewood Ave Suite I Orange CA 92868-2040 | |
| (714) 712-8340 | |
| (714) 712-8344 |
| Full Name | Pacific Clinics Orange Adult Op |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1717 W Orangewood Ave, Orange, California |
| Authorized Official Name and Position | Susan Shearer (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 6262545000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Clinics Orange Adult Op 800 S Santa Anita Ave Arcadia CA 91006-6853 Ph: (626) 254-5000 | Pacific Clinics Orange Adult Op 1717 W Orangewood Ave Suite I Orange CA 92868-2040 Ph: (714) 712-8340 |
| NPI Number | 1174665145 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 01/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174665145 | NPI | - | NPPES |
| 8081 | Medicaid | CA | |
| W279F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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