Organization
COUNTY OF ORANGE
Active
Parent organization
COUNTY OF ORANGE
Other names
HCA-PHS-PDS Prevention
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
1725 W 17TH ST, SUITE 101E, SANTA ANA, CA 92706-2316
(714) 834-8712
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
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EXE70059F
—
CA
Enumeration date
02/02/2007
Last updated
12/20/2019
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