Healthcare Provider Details

I. General information

NPI: 1053354308
Provider Name (Legal Business Name): CHAPMAN MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 05/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 E CHAPMAN AVE
ORANGE CA
92869-3206
US

IV. Provider business mailing address

2601 E CHAPMAN AVE
ORANGE CA
92869-3206
US

V. Phone/Fax

Practice location:
  • Phone: 714-633-0011
  • Fax: 714-633-7148
Mailing address:
  • Phone: 714-633-0011
  • Fax: 714-633-7148

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License NumberHSP50003
License Number StateCA

VIII. Authorized Official

Name: DON KREITZ
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 714-633-0011