Organization
THE LGBT CENTER OC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN MASON (DIRECTOR)
(714) 953-5428
Entity
Organization
Contact information
Practice address
1605 N SPURGEON ST, SANTA ANA, CA 92701-2355
(714) 953-5428
Mailing address
1605 N SPURGEON ST, SANTA ANA, CA 92701-2355
(714) 953-5428
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
71797
CA
Other
Enumeration date
11/25/2015
Last updated
11/25/2015
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