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NPI Code Detail

MEDICARE: ORANGE COUNTY HCA/BHS

MEDICARE: ORANGE COUNTY HCA/BHS
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
1101YM0800XMental Health CounselorPT 30996CA

General Provider Information

NPI Number : 1174614135
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORANGE COUNTY HCA/BHS
Provider Business Mailing Address
First Line : 1349 E GRACE ST APT 15
Second Line :
City : SANTA ANA
State : CA
Zip : 92701-2778
Country : US
Telephone Number : 714-609-8966
Fax Number :
Provider Business Practice Location Address
First Line : 1030 W WARNER AVE
Second Line :
City : SANTA ANA
State : CA
Zip : 92707-3147
Country : US
Telephone Number : 714-834-6900
Fax Number :
Authorized Official
Title or Position : MENTAL HEALTH SPECIALIST
Name : MR. VERNON CASTLE
Credential : LPT
Telephone Number : 714-834-6900
Provider Enumeration Date : 09/27/2006
Last Update Date : 03/21/2008

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Directions to “ORANGE COUNTY HCA/BHS ” Practice Location

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