| La Amistad De Jose Family Health Center | |
|
353 S Main St Orange CA 92868-3833 | |
| (714) 771-8006 | |
| (714) 744-8630 |
| Full Name | La Amistad De Jose Family Health Center |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 353 S Main St, Orange, California |
| Authorized Official Name and Position | Alan H Garrett (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 7147718000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Amistad De Jose Family Health Center 353 S Main St Orange CA 92868-3833 Ph: (714) 771-8006 | La Amistad De Jose Family Health Center 353 S Main St Orange CA 92868-3833 Ph: (714) 771-8006 |
| NPI Number | 1962625202 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962625202 | NPI | - | NPPES |
| CMM70367F | Medicaid | CA | |
| EAP70367F | Other | CA | (EAPC) EXPANDED ACCESS PR |
| G93665-01 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (California) | Primary |
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