Healthcare Provider Details

I. General information

NPI: 1396591806
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: 04/25/2024
Last Update Date: 04/25/2024
Certification Date: 04/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12912 BROOKHURST ST STE 440
GARDEN GROVE CA
92840-4870
US

IV. Provider business mailing address

12912 BROOKHURST ST STE 410
GARDEN GROVE CA
92840-4871
US

V. Phone/Fax

Practice location:
  • Phone: 714-636-9095
  • Fax:
Mailing address:
  • Phone: 714-636-9095
  • Fax: 714-636-8828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. MARY ANNE FOO
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 714-636-9095