| Hca-phs-spec Diseases-hiv-amb Care | |
|
1725 W 17th St Ste 101f Santa Ana CA 92706-2316 | |
| (714) 834-8405 | |
| (714) 834-8395 |
| Full Name | Hca-phs-spec Diseases-hiv-amb Care |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 1725 W 17th St Ste 101f, Santa Ana, California |
| Authorized Official Name and Position | Chi Y Rajalingam (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 7148343154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hca-phs-spec Diseases-hiv-amb Care 405 W 5th St Ste 212 Santa Ana CA 92701-4522 Ph: (714) 568-5614 | Hca-phs-spec Diseases-hiv-amb Care 1725 W 17th St Ste 101f Santa Ana CA 92706-2316 Ph: (714) 834-8405 |
| NPI Number | 1740431436 |
|---|---|
| Provider Enumeration Date | 10/01/2008 |
| Last Update Date | 12/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740431436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
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