| La Amistad Mobile Medical | |
|
1934 E Taft Ave Orange CA 92865-4702 | |
| (714) 771-8006 | |
| Not Available |
| Full Name | La Amistad Mobile Medical |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1934 E Taft Ave, Orange, California |
| Authorized Official Name and Position | Timothy Jason Brown (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2088999631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Amistad Mobile Medical 731 S Highland Ave Fullerton CA 92832-2753 Ph: () - | La Amistad Mobile Medical 1934 E Taft Ave Orange CA 92865-4702 Ph: (714) 771-8006 |
| NPI Number | 1568021772 |
|---|---|
| Provider Enumeration Date | 06/11/2019 |
| Last Update Date | 10/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568021772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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