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NPI Code Detail

MEDICARE: THC - ORANGE COUNTY LLC

MEDICARE: THC - ORANGE COUNTY 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
1282E00000XLong Term Care Hospital060000183CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ZZZ45726ZOTHERCABLUE CROSS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528143179
Entity Type Code : Organization
Provider Name (Legal Business Name) : THC - ORANGE COUNTY LLC
Provider Business Mailing Address
First Line : 200 HOSPITAL CIR
Second Line :
City : WESTMINSTER
State : CA
Zip : 92683-3910
Country : US
Telephone Number : 714-893-4541
Fax Number : 714-894-3407
Provider Business Practice Location Address
First Line : 200 HOSPITAL CIR
Second Line :
City : WESTMINSTER
State : CA
Zip : 92683-3910
Country : US
Telephone Number : 714-893-4541
Fax Number : 714-894-3407
Authorized Official
Title or Position : ADMINISTRATOR
Name : JOHNETTA TRAYLOR
Credential :
Telephone Number : 502-596-6063
Provider Enumeration Date : 10/25/2006
Last Update Date : 09/10/2025

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Directions to “THC - ORANGE COUNTY LLC ” Practice Location

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