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Organization

COUNTY OF ORANGE

Active
Parent organization
COUNTY OF ORANGE
Other names
CYS West Region
Organization subpart
Yes

Provider details

NPI number
Legal business name
COUNTY OF ORANGE
Authorized official
DR. CHI Y RAJALINGAM PH.D., CHC (CHIEF COMPLIANCE OFFICER)
(714) 834-3154
Entity
Organization

Contact information

Practice address
14140 BEACH BLVD, SUITE 155, WESTMINSTER, CA 92683-4453
(714) 896-7556
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
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30B9
CA
Enumeration date
02/01/2007
Last updated
12/20/2019
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