Children's Hospital Of Orange County | |
406 S Main St Santa Ana CA 92701-5712 | |
(714) 289-4800 | |
Not Available |
Full Name | Children's Hospital Of Orange County |
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Speciality | Clinic/center - Primary Care |
Location | 406 S Main St, Santa Ana, California |
Authorized Official Name and Position | Vivian Derr (MANAGER OUTREACH CLINICS) |
Authorized Official Contact | 7142894812 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Children's Hospital Of Orange County 1314 Vista Prado San Clemente CA 92673-3649 Ph: (714) 997-3000 | Children's Hospital Of Orange County 406 S Main St Santa Ana CA 92701-5712 Ph: (714) 289-4800 |
NPI Number | 1023091899 |
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Provider Enumeration Date | 11/23/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023091899 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 546154 (California) | Primary |
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