Organization
CENTER FOR COMPREHENSIVE CARE & DIAGNOSIS OF INHERITED BLOOD DISORDERS
Active
Organization
CENTER FOR COMPREHENSIVE CARE & DIAGNOSIS OF INHERITED BLOOD DISORDERS
Active
Other names
Center for Inherited Blood Disorders (CIBD)
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE J NUGENT M.D. (MEDICAL DIRECTOR)
(714) 221-1200
Entity
Organization
Contact information
Practice address
701 S PARKER ST STE 1000, ORANGE, CA 92868-4748
(714) 221-1200
(714) 221-1299
Mailing address
701 S PARKER ST STE 1000, ORANGE, CA 92868-4748
(657) 375-0508
(714) 600-4791
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
550001889
CA
261QM2500X
Medical Specialty Clinic/Center
550001889
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679875942
—
CA
Enumeration date
11/18/2010
Last updated
05/02/2022
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