Organization
COUNTY OF ORANGE
Active
Organization
COUNTY OF ORANGE
Active
Parent organization
COUNTY OF ORANGE
Other names
HCA-PHS-CCS-MTU-GG
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
6202 CERULEAN AVE, GARDEN GROVE, CA 92845-2711
(714) 663-6088
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
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CCS00099F
—
CA
Enumeration date
01/31/2007
Last updated
12/20/2019
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