Healthcare Provider Details

I. General information

NPI: 1366702961
Provider Name (Legal Business Name): ORANGE COUNTY HEALTH AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2012
Last Update Date: 05/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 CITY PKWY W
ORANGE CA
92868-2924
US

IV. Provider business mailing address

505 CITY PKWY W
ORANGE CA
92868-2924
US

V. Phone/Fax

Practice location:
  • Phone: 714-246-8400
  • Fax:
Mailing address:
  • Phone: 714-246-8400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: NORA ONISHI
Title or Position: DIRECTOR, IS APPLICATION MANAGEMENT
Credential:
Phone: 714-246-8630