# MEMORIALCARE SELECT HEALTH PLAN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEMORIAL HEALTH SERVICES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407293814
- **Legal business name:** MEMORIAL HEALTH SERVICES
- **Authorized official:** MS. MARIBEL FERRER (CEO)
- **Authorized official phone:** (855) 367-7747

## Contact information

- **Practice address:** 17360 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708-3720
- **Practice address phone:** (855) 367-7747
- **Practice address fax:** (657) 241-3960
- **Mailing address:** 17360 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708-3720
- **Mailing address phone:** (855) 367-7747
- **Mailing address fax:** (657) 241-3960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 9330495 | CA | Yes |

## Other

- **Enumeration date:** 05/24/2013
- **Last updated:** 09/23/2020