# COMMUNITY OUTREACH MEDICAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295152668
- **Authorized official:** DR. JACOB NAVA FLORES SR. M.D. (CEO / CMO)
- **Authorized official phone:** (657) 600-9077

## Contact information

- **Practice address:** 1200 N TUSTIN AVE, SUITE 130, SANTA ANA, CA 92705-3508
- **Practice address phone:** (657) 600-9077
- **Practice address fax:** (657) 600-9067
- **Mailing address:** 1200 N TUSTIN AVE, SUITE 130, TUSTIN, CA 92705
- **Mailing address phone:** (657) 600-9077
- **Mailing address fax:** (657) 600-9067

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | CA | Yes |

## Other

- **Enumeration date:** 03/24/2014
- **Last updated:** 09/01/2016
