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NPI Code Detail

MEDICARE: COUNTY OF ORANGE

MEDICARE: COUNTY OF ORANGE
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
1261QM0855XAdolescent and Children Mental Health Clinic/Center
2251B00000XCase Management Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912025628
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF ORANGE
Provider Business Mailing Address
First Line : 405 W 5TH ST STE 212
Second Line :
City : SANTA ANA
State : CA
Zip : 92701-4522
Country : US
Telephone Number : 714-568-5614
Fax Number : 714-834-6595
Provider Business Practice Location Address
First Line : 401 THE CITY DR S
Second Line :
City : ORANGE
State : CA
Zip : 92868-3303
Country : US
Telephone Number : 714-935-7545
Fax Number :
Authorized Official
Title or Position : CHIEF COMPLIANCE OFFICER
Name : DR. CHI Y RAJALINGAM
Credential : PH.D., CHC
Telephone Number : 714-834-3154
Provider Enumeration Date : 03/27/2007
Last Update Date : 12/20/2019

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1720132236 — MR. AARON R MONTGOMERY MFT
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1407994361 — COUNTY OF ORANGE
Practice Location Address:
401 THE CITY DR S
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1629259106 — MISS MARIA VICTORIA LAGAT RN, PHN
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Directions to “COUNTY OF ORANGE ” Practice Location

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