Healthcare Provider Details

I. General information

NPI: 1972311314
Provider Name (Legal Business Name): SERVE THE PEOPLE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2024
Last Update Date: 04/12/2025
Certification Date: 04/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1206 E 17TH ST STE 203
SANTA ANA CA
92701-2641
US

IV. Provider business mailing address

1206 E 17TH ST STE 101
SANTA ANA CA
92701-2641
US

V. Phone/Fax

Practice location:
  • Phone: 714-380-6230
  • Fax: 714-380-6231
Mailing address:
  • Phone: 714-352-2911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DAVID A. BECERRA
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 714-352-2911