| Santa Ana Clinica Medica General Medical Center Inc. | |
|
505 N Main St Santa Ana CA 92701-4619 | |
| (714) 567-0101 | |
| (714) 567-9279 |
| Full Name | Santa Ana Clinica Medica General Medical Center Inc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 505 N Main St, Santa Ana, California |
| Authorized Official Name and Position | Maritza Maribel Maldonado (OFFICE MANAGER) |
| Authorized Official Contact | 1037794474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Ana Clinica Medica General Medical Center Inc. Po Box 546 Beverly Hills CA 90213-0546 Ph: (310) 779-4474 | Santa Ana Clinica Medica General Medical Center Inc. 505 N Main St Santa Ana CA 92701-4619 Ph: (714) 567-0101 |
| NPI Number | 1104873686 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 01/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104873686 | NPI | - | NPPES |
| GR0076070 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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