# COMMUNITY OUTREACH MEDICAL SERVICES

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

## Provider details

- **NPI number:** 1487947842
- **Authorized official:** JACOB NAVA FLORES MD (CHIEF MEDICAL OFFICER, CMO)
- **Authorized official phone:** (760) 809-4045

## Contact information

- **Practice address:** 1200 N. TUSTIN AVE, SUITE 130, SANTA ANA, CA 92705-3501
- **Practice address phone:** (657) 600-9077
- **Practice address fax:** (657) 600-9076
- **Mailing address:** 2171 S. EL CAMINO REAL, SUITE 104, OCEANSIDE, CA 92054-6269
- **Mailing address phone:** (760) 754-5663
- **Mailing address fax:** (760) 754-5440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | A60865 | CA | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/18/2011
- **Last updated:** 05/13/2021