Fancoc Inc

NPI 1720351760 - Psychiatric Hospital - 283Q00000X

NPI Details
NPI 1720351760
Enumeration Date 02/22/2012
Last Updated 09/07/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MICHELLE R MICHELLE
Position CEO
Phone (949) 207-3457
Fax (949) 680-4147
Practice Location
1025 S ANAHEIM BLVD
ANAHEIM CA, 92805-5806, US
Phone (949) 207-3457
Fax (949) 680-4147
Business Location
27068 LA PAZ RD STE 731
ALISO VIEJO CA, 92656-3041, US
Phone (949) 207-3457
Fax (949) 680-4147
Toxanomy
Taxonomy Code 283Q00000X
License State California
License Number G50401
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According to our database, Fancoc Inc NPI is 1720351760, taxonomy code is 283Q00000X and license number is G50401, license state is located at California. Fancoc Inc physically located at 1025 S Anaheim Blvd, Anaheim CA, 92805-5806. NPI Number 1033115704 has the healthcare provider type.

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1720351760 NPI number is provided on an as is basis without warranty of any kind. 1720351760 is maintained by the National Plan & Provider Enumeration System. The contents of Fancoc Inc are for informational purposes only.