| Thc - Orange County, Llc | |
|
200 Hospital Cir Westminster CA 92683 | |
| (714) 893-4541 | |
| (714) 894-3407 |
| Full Name | Thc - Orange County, Llc |
|---|---|
| Speciality | General Practice |
| Location | 200 Hospital Cir, Westminster, California |
| Authorized Official Name and Position | Mostafa Adam Darvish (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7148934541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thc - Orange County, Llc 200 Hospital Cir Westminster CA 92683-3910 Ph: (714) 893-4541 | Thc - Orange County, Llc 200 Hospital Cir Westminster CA 92683 Ph: (714) 893-4541 |
| NPI Number | 1679705826 |
|---|---|
| Provider Enumeration Date | 08/20/2009 |
| Last Update Date | 07/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679705826 | NPI | - | NPPES |
| ZZZ45726Z | Other | CA | BLUE CROSS |
| HSC30363H | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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