Organization
SOUTHLAND INTEGRATED SERVICES, INC.
Active
Other names
Integrated Community Services - Santa Ana
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA THAO NGUYEN M.P.H. (CHIEF EXECUTIVE OFFICER)
(714) 620-7007
Entity
Organization
Contact information
Practice address
1200 N MAIN ST STE 300, SANTA ANA, CA 92701-3625
(714) 480-7629
Mailing address
1200 N MAIN ST STE 200, SANTA ANA, CA 92701-3640
(714) 480-7629
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/03/2018
Last updated
02/27/2019
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