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Organization
COMMUNITY OUTREACH MEDICAL SERVICES
Active
Organization
COMMUNITY OUTREACH MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB NAVA FLORES MD (CHIEF MEDICAL OFFICER, CMO)
(760) 809-4045
Entity
Organization
Contact information
Practice address
1200 N. TUSTIN AVE, SUITE 130, SANTA ANA, CA 92705-3501
(657) 600-9077
(657) 600-9076
Mailing address
2171 S. EL CAMINO REAL, SUITE 104, OCEANSIDE, CA 92054-6269
(760) 754-5663
(760) 754-5440
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
A60865
CA
261QP2300X
Primary Care Clinic/Center
—
NULL
Other
Enumeration date
05/18/2011
Last updated
05/13/2021
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