Organization
INTERGRATED COMMUNITY HEALTHCARE SOLUTIONS (ICHS)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN NISHIMOTO O.D, M.B.A. (OFFICER)
(714) 449-7409
Entity
Organization
Contact information
Practice address
8332 COMMONWEALTH AVE, BUENA PARK, CA 90621-2526
(714) 522-8242
Mailing address
8332 COMMONWEALTH AVE, BUENA PARK, CA 90621-2526
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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