Organization
COMMUNITY OUTREACH MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB NAVA FLORES MD (CHIEF MEDICAL OFFICER, CMO)
(760) 809-4045
Entity
Organization
Contact information
Practice address
1200 N. TUSTIN AVE, SUITE 130, SANTA ANA, CA 92705-3501
(657) 600-9077
(657) 600-9076
Mailing address
2171 S. EL CAMINO REAL, SUITE 104, OCEANSIDE, CA 92054-6269
(760) 754-5663
(760) 754-5440
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
A60865
CA
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A60865
CALIFORNIA MEDICAL LICENSE
CA
Enumeration date
05/18/2011
Last updated
05/13/2021
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