Organization
COUNTY OF ORANGE
Active
Parent organization
COUNTY OF ORANGE
Other names
CYS Costa Mesa Region
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
2801 BRISTOL ST, COSTA MESA, CA 92626-5996
(714) 850-8408
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
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30C6
—
CA
Enumeration date
02/01/2007
Last updated
07/14/2020
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