Organization
21ST CENTURY MEDICAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DON ELLIS (PRESIDENT)
(949) 851-8185
Entity
Organization
Contact information
Practice address
1921 CARNEGIE AVE, SUITE 3-K, SANTA ANA, CA 92705-5510
(949) 851-8185
Mailing address
1921 CARNEGIE AVE, SUITE 3-K, SANTA ANA, CA 92705-5510
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
02/28/2007
Last updated
08/22/2020
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