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Organization
COUNTY OF ORANGE
Active
Organization
COUNTY OF ORANGE
Active
Other names
BHCOE Neuro Behavioral Testing (NBT)
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHI Y RAJALINGAM PH.D., CHC (CHIEF COMPLIANCE OFFICER)
(714) 834-3154
Entity
Organization
Contact information
Practice address
600 W SANTA ANA BLVD, SUITE 510, SANTA ANA, CA 92701-4558
(714) 667-5600
Mailing address
405 W 5TH ST STE 212, SANTA ANA, CA 92701-4522
(714) 568-5614
(714) 834-6595
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30GK
—
CA
Enumeration date
10/16/2013
Last updated
12/20/2019
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