Organization
SANTA ANA PROHEALTH MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MASOUD ERIC TAFRESHI (PRECIDENT)
(714) 444-9774
Entity
Organization
Contact information
Practice address
999 N TUSTIN AVE STE 22, SANTA ANA, CA 92705-6504
(714) 444-9474
Mailing address
999 N TUSTIN AVE STE 22, SANTA ANA, CA 92705-6504
(714) 444-9474
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/14/2008
Last updated
08/26/2009
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