| Vista Community Clinic | |
|
1525 E 17th St Unit #b Santa Ana CA 92705-8521 | |
| (562) 691-3263 | |
| Not Available |
| Full Name | Vista Community Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1525 E 17th St, Santa Ana, California |
| Authorized Official Name and Position | Michele Lambert (CFO) |
| Authorized Official Contact | 7602165803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vista Community Clinic 1000 Vale Terrace Dr Vista CA 92084-5218 Ph: () - | Vista Community Clinic 1525 E 17th St Unit #b Santa Ana CA 92705-8521 Ph: (562) 691-3263 |
| NPI Number | 1598124083 |
|---|---|
| Provider Enumeration Date | 02/12/2016 |
| Last Update Date | 02/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598124083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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