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NPI Code Detail

MEDICARE: ORANGE HEALTH CARE AGENCY

MEDICARE: ORANGE HEALTH CARE AGENCY
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
1261QH0100XHealth Service Clinic/CenterC42590CA

General Provider Information

NPI Number : 1689871378
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORANGE HEALTH CARE AGENCY
Provider Business Mailing Address
First Line : 550 N FLOWER ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92703-2361
Country : US
Telephone Number : 714-647-4169
Fax Number : 714-647-4568
Provider Business Practice Location Address
First Line : 550 N FLOWER ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92703-2361
Country : US
Telephone Number : 714-647-4169
Fax Number : 714-647-4568
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. ERNEST ROOSEVELT WILLIAMS
Credential : MD, MPH
Telephone Number : 714-647-4169
Provider Enumeration Date : 06/27/2007
Last Update Date : 08/22/2020

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Directions to “ORANGE HEALTH CARE AGENCY ” Practice Location

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