Healthcare Provider Details

I. General information

NPI: 1518392133
Provider Name (Legal Business Name): ORANGE COUNTY HEALTH CARE AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2013
Last Update Date: 09/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 E. FIRST ST. STE. 114
SANTA ANA CA
92702
US

IV. Provider business mailing address

1540 E 1ST ST STE. 114
SANTA ANA CA
92701-6341
US

V. Phone/Fax

Practice location:
  • Phone: 714-972-3700
  • Fax:
Mailing address:
  • Phone: 714-972-3700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. MAJID AL-SHEIKH
Title or Position: MSW INTERN
Credential:
Phone: 949-887-6409