| Choc Clinic At The Boys And Girls Club Of Santa Ana | |
|
1000 Highland St Santa Ana CA 92703-4822 | |
| (714) 289-4800 | |
| Not Available |
| Full Name | Choc Clinic At The Boys And Girls Club Of Santa Ana |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1000 Highland St, Santa Ana, California |
| Authorized Official Name and Position | Gina Sue Cadogan (BILLING MANAGER) |
| Authorized Official Contact | 7142894818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Choc Clinic At The Boys And Girls Club Of Santa Ana 1000 Highland St Santa Ana CA 92703-4822 Ph: (714) 289-4800 | Choc Clinic At The Boys And Girls Club Of Santa Ana 1000 Highland St Santa Ana CA 92703-4822 Ph: (714) 289-4800 |
| NPI Number | 1679600852 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679600852 | NPI | - | NPPES |
| CMM70891F | Other | CA | GROUP MEDI-CAL ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | CM70891F (California) | Primary |
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