Healthcare Provider Details

I. General information

NPI: 1821125550
Provider Name (Legal Business Name): WESTERN CONSULTING & ANCILLARY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 06/20/2023
Certification Date: 06/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 S MAGNOLIA AVE
EL CAJON CA
92020-4524
US

IV. Provider business mailing address

240 S MAGNOLIA AVE
EL CAJON CA
92020-4524
US

V. Phone/Fax

Practice location:
  • Phone: 619-631-7222
  • Fax: 619-631-9228
Mailing address:
  • Phone: 619-631-7222
  • Fax: 619-631-9228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number060000892
License Number StateCA

VIII. Authorized Official

Name: MR. FRANCISCO JAVIER ORELLANA
Title or Position: OWNER
Credential:
Phone: 619-631-7222