Organization
SODEXO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID YASUTAKE (GENERAL MANAGER)
(714) 456-5323
Entity
Organization
Contact information
Practice address
101 THE CITY DR S, MAIL ROUTE 66, ORANGE, CA 92868-3201
(714) 456-7584
Mailing address
101 THE CITY DR S, MAIL ROUTE 66, ORANGE, CA 92868-3201
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
1021166
CA
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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