Organization
FNA CLINICS OF AMERICA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD FERGUSON (PRESIDENT)
(714) 427-5430
Entity
Organization
Contact information
Practice address
3730 S SUSAN ST, SANTA ANA, CA 92704-8906
(714) 427-5430
Mailing address
PO BOX 10076, VAN NUYS, CA 91410-0076
(805) 578-8300
(805) 578-8950
Taxonomy
Speciality
Code
Description
License number
State
291900000X
Military Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ07713Z
BLUE SHIELD GROUP ID
CA
Enumeration date
03/28/2006
Last updated
08/22/2020
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