Organization
FRIENDS OF FAMILY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN TA (CHIEF FINANCIAL OFFICER)
(562) 690-0400
Entity
Organization
Contact information
Practice address
13152 NEWPORT AVE, SUITE B, TUSTIN, CA 92780-3469
(714) 263-8600
(714) 263-8601
Mailing address
501 S IDAHO ST, 260, LA HABRA, CA 90631-6047
(562) 690-0400
(562) 501-1198
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/17/2015
Last updated
08/19/2016
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