Chc

NPI 1184028797 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1184028797
Enumeration Date 10/11/2014
Last Updated 10/11/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name MALIA MALIA
Position CLINIC DIRECTOR
Phone (805) 929-3254
Fax
Practice Location
150 TEJAS PL
NIPOMO CA, 93444-9123, US
Phone (805) 929-3254
Fax
Business Location
1120 CALLE ATAPANEO
NIPOMO CA, 93444-7807, US
Phone (805) 801-7883
Fax
Toxanomy
Taxonomy Code 302R00000X
License State California
License Number 63651
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According to our database, Chc NPI is 1184028797, taxonomy code is 302R00000X and license number is 63651, license state is located at California. Chc physically located at 150 Tejas Pl, Nipomo CA, 93444-9123. NPI Number 1033115704 has the healthcare provider type.

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1184028797 NPI number is provided on an as is basis without warranty of any kind. 1184028797 is maintained by the National Plan & Provider Enumeration System. The contents of Chc are for informational purposes only.