| Friends Of Family Health Center | |
|
13152 Newport Ave Suite B Tustin CA 92780-3469 | |
| (714) 263-8600 | |
| (714) 263-8601 |
| Full Name | Friends Of Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 13152 Newport Ave, Tustin, California |
| Authorized Official Name and Position | Dawn Ta (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5626900400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Friends Of Family Health Center 501 S Idaho St 260 La Habra CA 90631-6047 Ph: (562) 690-0400 | Friends Of Family Health Center 13152 Newport Ave Suite B Tustin CA 92780-3469 Ph: (714) 263-8600 |
| NPI Number | 1922489665 |
|---|---|
| Provider Enumeration Date | 06/17/2015 |
| Last Update Date | 08/19/2016 |
| Medicare PECOS PAC ID | 7315120730 |
|---|---|
| Medicare Enrollment ID | O20150924003224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922489665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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