Organization
COUNTY OF ORANGE
Active
Parent organization
COUNTY OF ORANGE
Other names
PEI OC CREW
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF ORANGE
Authorized official
CHI RAJALINGAM (CHIEF COMPLIANCE OFFICER)
(714) 834-5937
Entity
Organization
Contact information
Practice address
4000 W METROPOLITAN DR STE 403, ORANGE, CA 92868-3504
(714) 480-5100
(714) 939-2078
Mailing address
405 W 5TH ST STE 212, SANTA ANA, CA 92701-4522
(714) 568-5614
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
—
3005
—
CA
Enumeration date
01/13/2020
Last updated
01/15/2020
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