Organization
COMMUNITY CARE HEALTH CENTERS
Active
Other names
Clinic For Women
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY K GOULD (CFO)
(714) 500-0200
Entity
Organization
Contact information
Practice address
1241 W 17TH ST, SUITE 1, SANTA ANA, CA 92706-3459
(714) 285-9811
(714) 285-9822
Mailing address
8041 NEWMAN AVE, HUNTINGTON BEACH, CA 92647-7034
(714) 500-0200
(714) 842-0716
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
550000166
CA
Other
Enumeration date
01/25/2007
Last updated
07/21/2008
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