| Amhs Santa Ana | |
|
401 W. Civic Center Dr., Suite 100, 700, & 800 Santa Ana CA 92701-4515 | |
| (714) 480-6767 | |
| (714) 568-4362 |
| Full Name | Amhs Santa Ana |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 401 W. Civic Center Dr., Suite 100, 700, & 800, Santa Ana, California |
| Authorized Official Name and Position | Chi Rajalingam (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 7148343154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amhs Santa Ana 405 W 5th St Ste 212 Santa Ana CA 92701-4522 Ph: (714) 568-5614 | Amhs Santa Ana 401 W. Civic Center Dr., Suite 100, 700, & 800 Santa Ana CA 92701-4515 Ph: (714) 480-6767 |
| NPI Number | 1356488753 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 06/01/2021 |
| Certification Date | 06/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356488753 | NPI | - | NPPES |
| 3006 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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