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NPI Code Detail

MEDICARE: THE PRIORITY CENTER ENDING THE GENERATIONAL CYCLE OF TRAUMA INC.

MEDICARE: THE PRIORITY CENTER ENDING THE GENERATIONAL CYCLE OF TRAUMA INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1477341105
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE PRIORITY CENTER ENDING THE GENERATIONAL CYCLE OF TRAUMA INC.
Provider Business Mailing Address
First Line : 1932 E DEERE AVE STE 240
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-5716
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1932 E DEERE AVE STE 240
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-5716
Country : US
Telephone Number : 714-543-4333
Fax Number :
Authorized Official
Title or Position : CHIEF PROGRAM OFFICER
Name : WILLIAM TORNQUIST
Credential : LMFT
Telephone Number : 714-543-4333
Provider Enumeration Date : 04/30/2025
Last Update Date : 06/02/2026

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