| Integrated Community Services - Santa Ana | |
|
1200 N Main St Ste 300 Santa Ana CA 92701-3625 | |
| (714) 480-7629 | |
| Not Available |
| Full Name | Integrated Community Services - Santa Ana |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1200 N Main St Ste 300, Santa Ana, California |
| Authorized Official Name and Position | Tricia Thao Nguyen (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7146207007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Community Services - Santa Ana 1200 N Main St Ste 200 Santa Ana CA 92701-3640 Ph: (714) 480-7629 | Integrated Community Services - Santa Ana 1200 N Main St Ste 300 Santa Ana CA 92701-3625 Ph: (714) 480-7629 |
| NPI Number | 1134636889 |
|---|---|
| Provider Enumeration Date | 01/03/2018 |
| Last Update Date | 02/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134636889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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