Healthcare Provider Details

I. General information

NPI: 1447816509
Provider Name (Legal Business Name): MEDICHEX, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2019
Last Update Date: 06/04/2024
Certification Date: 06/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1567 W EMBASSY ST
ANAHEIM CA
92802-1016
US

IV. Provider business mailing address

1563 W EMBASSY ST
ANAHEIM CA
92802-1016
US

V. Phone/Fax

Practice location:
  • Phone: 714-844-2858
  • Fax: 714-276-9997
Mailing address:
  • Phone: 714-844-2858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MISS TRINAJOY AGUILAR
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 714-381-0432