is a Primary Care in Anaheim, California. practices all healthcare services and medical treatments related to Primary Care. The NPI Number for is 1447361324. The last update date is .
's current location address is 1120 W La Palma Ave, Anaheim, California. You can contact this provider via phone number 7145356419 and fax number 7145357222. The mailing address for is 1120 W La Palma Ave, Anaheim, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1120 W La Palma Ave, Anaheim, California |
| Phone Number | 7145356419 |
| Fax Number | 7145357222 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1447361324 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1120 W La Palma Ave |
|---|---|
| City | Anaheim |
| State | California (CA) |
| Post Code | 928012801 |
| Phone Number | 7145356419 |
| Fax Number | 7145357222 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | A30768 |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A307680 | CA | -- |
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