Organization
UNIVERSITY OF CALIFORNIA IRVINE
Active
Organization
UNIVERSITY OF CALIFORNIA IRVINE
Active
Parent organization
UCI MEDICAL CENTER
Other names
UCI Family Health Center - Santa Ana Mobile Unit
Organization subpart
Yes
Provider details
NPI number
Legal business name
UCI MEDICAL CENTER
Authorized official
GINA CHURCHILL (REIMBURSEMENT DIRECTOR)
(714) 509-6266
Entity
Organization
Contact information
Practice address
800 N MAIN ST, SANTA ANA, CA 92701-3576
(714) 456-3006
(714) 456-3961
Mailing address
1500 S DOUGLASS BLVD, #200 RT 183, ANAHEIM, CA 92806
(714) 509-6266
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
060000148
CA
Other
Enumeration date
06/11/2008
Last updated
11/04/2019
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