# COMMUNITY OUTREACH MEDICAL SERVICES

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

## Provider details

- **NPI number:** 1790150209
- **Authorized official:** KELLY BARNES (CEO)
- **Authorized official phone:** (310) 309-7456

## Contact information

- **Practice address:** 1200 N TUSTIN AVE STE 130, SANTA ANA, CA 92705-3501
- **Practice address phone:** (310) 309-7456
- **Mailing address:** 1200 N TUSTIN AVE STE 130, SANTA ANA, CA 92705-3501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 550002046 | CA | Yes |

## Other

- **Enumeration date:** 12/09/2015
- **Last updated:** 12/09/2015