Healthcare Provider Details
I. General information
NPI: 1386784650
Provider Name (Legal Business Name): ORANGE COUNTY ASIAN AND PACIFIC ISLANDER COMMUNITY ALLIANCE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/07/2007
Last Update Date: 06/28/2023
Certification Date: 06/28/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12912 BROOKHURST ST STE 480&467
GARDEN GROVE CA
92840-4835
US
IV. Provider business mailing address
12912 BROOKHURST ST STE 480
GARDEN GROVE CA
92840-4867
US
V. Phone/Fax
- Phone: 714-636-9095
- Fax: 714-636-8828
- Phone: 714-636-9095
- Fax: 714-636-8828
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251V00000X |
| Taxonomy | Voluntary or Charitable Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
MARY
ANNE
FOO
Title or Position: EXECUTIVE DIRECTOR
Credential: MPH
Phone: 714-636-9095