Organization
FIRST HOPE MEDICAL CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT M. PRATLEY M.D. (VICE PRESIDENT)
(714) 543-5005
Entity
Organization
Contact information
Practice address
999 N. TUSTIN AVE., SUITE 101, SANTA ANA, CA 92705
(714) 543-5005
(714) 543-5595
Mailing address
999 N. TUSTIN AVE., SUITE 101, SANTA ANA, CA 92705
(714) 543-5005
(714) 543-5595
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A-91300
CA
174400000X
Specialist
A38937
CA
174400000X
Specialist
C30241
CA
174400000X
Specialist
Primary
DC24524
CA
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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