Organization
CORRECTIONAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE ANN VELORIA DUNGAO (REGISTERED NURSE)
(949) 382-8797
Entity
Organization
Contact information
Practice address
1414 CITY LIGHTS DR, ALISO VIEJO, CA 92656-2648
(949) 382-8797
Mailing address
1414 CITY LIGHTS DR, ALISO VIEJO, CA 92656-2648
(949) 382-8797
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
638734
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19394098
KAISER PERMANENTE MEDICAL NUMBER
CA
Enumeration date
12/09/2013
Last updated
12/09/2013
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