Healthcare Provider Details

I. General information

NPI: 1467293530
Provider Name (Legal Business Name): CNC MED ENTERPRISES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2024
Last Update Date: 06/04/2024
Certification Date: 06/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3244 ASHTON PL
LANCASTER CA
93536-9564
US

IV. Provider business mailing address

2795 W LINCOLN AVE STE C
ANAHEIM CA
92801-6334
US

V. Phone/Fax

Practice location:
  • Phone: 949-732-8655
  • Fax:
Mailing address:
  • Phone: 714-886-2959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: FRANCES CUENTO
Title or Position: CEO
Credential: NP
Phone: 949-732-8655