County Of Orange

NPI 1073650727 - Clinic/Center - 261QR0401X

NPI Details
NPI 1073650727
Enumeration Date 01/31/2007
Last Updated 12/29/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name THEA L THEA
Position CHIEF COMPLIANCE OFFICER
Phone (949) 234-5595
Fax
Practice Location
24242 LA CRESTA DR
DANA POINT CA, 92629-2561, US
Phone (949) 234-5595
Fax
Business Location
405 W 5TH ST
SUITE 776
SANTA ANA CA, 92701-4519, US
Phone
Fax
Toxanomy
Taxonomy Code 261QR0401X
License State
License Number
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According to our database, County Of Orange NPI is 1073650727, taxonomy code is 261QR0401X County Of Orange physically located at 24242 La Cresta Dr, Dana Point CA, 92629-2561. NPI Number 1033115704 has the healthcare provider type.

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1073650727 NPI number is provided on an as is basis without warranty of any kind. 1073650727 is maintained by the National Plan & Provider Enumeration System. The contents of County Of Orange are for informational purposes only.