| Amhs Ccs Ok Fsp | |
|
631 S Brookhurst St Ste 104 Anaheim CA 92804-3510 | |
| (714) 620-8131 | |
| (714) 620-8132 |
| Full Name | Amhs Ccs Ok Fsp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 631 S Brookhurst St Ste 104, Anaheim, 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 |
|---|---|
| Amhs Ccs Ok Fsp 8337 Telegraph Rd Ste 300 Pico Rivera CA 90660-4957 Ph: (562) 467-5440 | Amhs Ccs Ok Fsp 631 S Brookhurst St Ste 104 Anaheim CA 92804-3510 Ph: (714) 620-8131 |
| NPI Number | 1841335692 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 12/14/2023 |
| Certification Date | 12/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841335692 | NPI | - | NPPES |
| 30DD | Other | CA | MEDI-CAL PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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