| North Bristol Family And Injury Medical Center | |
|
1415 N Broadway Santa Ana CA 92706-3904 | |
| (714) 541-0175 | |
| Not Available |
| Full Name | North Bristol Family And Injury Medical Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1415 N Broadway, Santa Ana, California |
| Authorized Official Name and Position | Mario Perez (ADMINISTRATOR) |
| Authorized Official Contact | 7145410175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Bristol Family And Injury Medical Center 1415 N Broadway Santa Ana CA 92706-3904 Ph: (714) 541-0175 | North Bristol Family And Injury Medical Center 1415 N Broadway Santa Ana CA 92706-3904 Ph: (714) 541-0175 |
| NPI Number | 1851705818 |
|---|---|
| Provider Enumeration Date | 06/18/2014 |
| Last Update Date | 06/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851705818 | NPI | - | NPPES |
| 1558378463 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | AA1429251 (California) | Primary |
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