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550 N Golden Circle Dr Ste A Santa Ana CA 92705-3977 | |
| (800) 778-1772 | |
| (714) 699-4984 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 550 N Golden Circle Dr Ste A, Santa Ana, California |
| Authorized Official Name and Position | Aaron Bailey (GENERAL COUNSEL) |
| Authorized Official Contact | 9492989228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
20500 Belshaw Avenue Dpt 2034 Carson CA 90746-3506 Ph: (949) 298-9228 | 550 N Golden Circle Dr Ste A Santa Ana CA 92705-3977 Ph: (800) 778-1772 |
| NPI Number | 1417425604 |
|---|---|
| Provider Enumeration Date | 11/06/2018 |
| Last Update Date | 01/15/2025 |
| Certification Date | 01/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417425604 | NPI | - | NPPES |
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