Organization
COMMUNITY OUTREACH MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY BARNES (CEO)
(310) 309-7456
Entity
Organization
Contact information
Practice address
1200 N TUSTIN AVE STE 130, SANTA ANA, CA 92705-3501
(310) 309-7456
Mailing address
1200 N TUSTIN AVE STE 130, SANTA ANA, CA 92705-3501
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
550002046
CA
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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