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NPI Code Detail

MEDICARE: CTSH OC, LLC

MEDICARE: CTSH OC, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1023430576
Entity Type Code : Organization
Provider Name (Legal Business Name) : CTSH OC, LLC
Provider Business Mailing Address
First Line : 640 N TUSTIN AVE
Second Line : SUITE 201
City : SANTA ANA
State : CA
Zip : 92705-3731
Country : US
Telephone Number : 949-916-6705
Fax Number : 949-916-6785
Provider Business Practice Location Address
First Line : 640 N TUSTIN AVE
Second Line : SUITE 201
City : SANTA ANA
State : CA
Zip : 92705-3731
Country : US
Telephone Number : 949-916-6705
Fax Number : 949-916-6785
Authorized Official
Title or Position : PRESIDENT
Name : KRAIG M NAKANO
Credential :
Telephone Number : 949-916-6705
Provider Enumeration Date : 01/16/2014
Last Update Date : 08/13/2024

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Directions to “CTSH OC, LLC ” Practice Location

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