Project Kinship | |
1535 E 17th St Santa Ana CA 92705-8514 | |
(714) 941-8009 | |
Not Available |
Full Name | Project Kinship |
---|---|
Speciality | Social Worker - Clinical |
Location | 1535 E 17th St, Santa Ana, California |
Authorized Official Name and Position | Ted Kim (CHIEF OPERATIONS OFFICER) |
Authorized Official Contact | 7145976630 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Project Kinship 4041 Macarthur Blvd Ste 510 Newport Beach CA 92660-2503 Ph: () - | Project Kinship 1535 E 17th St Santa Ana CA 92705-8514 Ph: (714) 941-8009 |
NPI Number | 1821596750 |
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Provider Enumeration Date | 01/25/2018 |
Last Update Date | 01/25/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821596750 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 28144 (California) | Primary |
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