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Organization

NORTH COUNTY REGIONAL HEALTH FOUNDATION

Active
Parent organization
MEDVANTX INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MEDVANTX INC
Authorized official
KENNY HEINE (VP OPS)
(858) 964-1506
Entity
Organization

Contact information

Practice address
901 W ORANGETHORPE AVE, FULLERTON, CA 92832-2826
(714) 441-0411
Mailing address
5626 OBERLIN DR, 110, SAN DIEGO, CA 92121-1705

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
A65363
CA

Other

Enumeration date
01/15/2013
Last updated
01/15/2013
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