| College Community Services | |
|
1855 W Katella Ave Suite 150 And 270 Orange CA 92867-3451 | |
| (714) 399-3480 | |
| (714) 399-3481 |
| Full Name | College Community Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1855 W Katella Ave, Orange, California |
| Authorized Official Name and Position | Tracy Ginter (DIRECTOR OF STATE OPERATIONS) |
| Authorized Official Contact | 6574659497 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| College Community Services 8337 Telegraph Rd Ste 300 Pico Rivera CA 90660-4957 Ph: (562) 467-5440 | College Community Services 1855 W Katella Ave Suite 150 And 270 Orange CA 92867-3451 Ph: (714) 399-3480 |
| NPI Number | 1396870549 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 05/22/2025 |
| Certification Date | 05/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396870549 | NPI | - | NPPES |
| 30DC | Other | CA | MEDI-CAL PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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