Organization
C3 PATIENTS ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA A. SMITH (DIRECTOR)
(714) 865-5335
Entity
Organization
Contact information
Practice address
13210 HARBOR BLVD STE 187, GARDEN GROVE, CA 92843-1737
(877) 508-4860
(866) 308-1394
Mailing address
13210 HARBOR BLVD STE 187, GARDEN GROVE, CA 92843-1737
(877) 508-4860
(866) 308-1394
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101-679006
SELLERS PERMIT
CA
Enumeration date
03/13/2012
Last updated
07/09/2013
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