Choc Children's Subspecialty Clinic- Pulmonary | |
1201 W La Veta Ave Orange CA 92868-4203 | |
(888) 770-2462 | |
(855) 246-2329 |
Full Name | Choc Children's Subspecialty Clinic- Pulmonary |
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Speciality | Clinic/center - Multi-specialty |
Location | 1201 W La Veta Ave, Orange, California |
Authorized Official Name and Position | Manuel Porto (PRESIDENT) |
Authorized Official Contact | 7144562986 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Choc Children's Subspecialty Clinic- Pulmonary Po Box 54559 Los Angeles CA 90054-0559 Ph: (714) 456-3724 | Choc Children's Subspecialty Clinic- Pulmonary 1201 W La Veta Ave Orange CA 92868-4203 Ph: (888) 770-2462 |
NPI Number | 1568911303 |
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Provider Enumeration Date | 09/21/2016 |
Last Update Date | 09/30/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568911303 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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