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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