Organization
QHP A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA HENRY PA (PRESIDENT)
(888) 959-5192
Entity
Organization
Contact information
Practice address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(888) 959-5192
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(888) 959-5192
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
04/10/2026
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