| Reimagine Network | |
|
1601 E Saint Andrew Pl Santa Ana CA 92705-4940 | |
| (714) 633-7400 | |
| (714) 633-0738 |
| Full Name | Reimagine Network |
|---|---|
| Speciality | Clinic/center |
| Location | 1601 E Saint Andrew Pl, Santa Ana, California |
| Authorized Official Name and Position | Sofia Celestina Martinez (CHIEF OF PROGRAMS & SERVICES) |
| Authorized Official Contact | 7146806060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reimagine Network 1601 E Saint Andrew Pl Santa Ana CA 92705-4940 Ph: (714) 633-7400 | Reimagine Network 1601 E Saint Andrew Pl Santa Ana CA 92705-4940 Ph: (714) 633-7400 |
| NPI Number | 1679635569 |
|---|---|
| Provider Enumeration Date | 12/15/2006 |
| Last Update Date | 09/24/2021 |
| Certification Date | 09/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679635569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | I24111L (California) | Primary |
| 261QR0401X | Clinic/center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf) | (NU) | Secondary |
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