Healthcare Provider Details

I. General information

NPI: 1699899401
Provider Name (Legal Business Name): OCNNN PROPERTIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 06/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 HIGHLAND AVE
NATIONAL CITY CA
91950-7004
US

IV. Provider business mailing address

2525 HIGHLAND AVE.
NATIONAL CITY CA
91950
US

V. Phone/Fax

Practice location:
  • Phone: 619-474-0015
  • Fax: 619-336-9567
Mailing address:
  • Phone: 619-474-0015
  • Fax: 619-336-9567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number060000929
License Number StateCA

VIII. Authorized Official

Name: MR. CHAU TRAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 619-474-0015