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 |
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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 |
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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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