Organization
HEALTH CARE AGENCY (CEGU)
Active
Organization
HEALTH CARE AGENCY (CEGU)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARACELY ROQUE PSY. D. (CLINICAL PSYCHOLOGIST I)
(714) 935-8248
Entity
Organization
Contact information
Practice address
305 THE CITY DR, ORANGE, CA 92868
(714) 935-8248
Mailing address
11652 CANDY LN, GARDEN GROVE, CA 92840-2554
(714) 590-9969
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
IMF 41740
CA
Other
Enumeration date
10/20/2006
Last updated
06/17/2008
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