Organization
SOUTHLAND INTEGRATED SERVICES, INC.
Active
Organization
SOUTHLAND INTEGRATED SERVICES, INC.
Active
Other names
Integrated Community Services - Anaheim
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA THAO NGUYEN M.P.H. (CHIEF EXECUTIVE OFFICER)
(714) 620-7007
Entity
Organization
Contact information
Practice address
2035 E BALL RD STE 100A, ANAHEIM, CA 92806-5158
(714) 517-6150
Mailing address
2035 E BALL RD, ANAHEIM, CA 92806-5159
(714) 517-6150
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/03/2018
Last updated
02/27/2019
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