Organization
INTEGRATED COMMUNITY HEALTHCARE SOLUTIONS
Active
Other names
Buena Park Community Clinic - BP
Organization subpart
No
Provider details
NPI number
Authorized official
YELENA WESTBERG RN (CLINIC ADMINISTRATOR)
(714) 880-9010
Entity
Organization
Contact information
Practice address
8332 COMMONWEALTH AVE # B, BUENA PARK, CA 90621-2526
(714) 880-9010
(855) 204-8717
Mailing address
8332 COMMONWEALTH AVE # B, BUENA PARK, CA 90621-2526
(714) 880-9010
(855) 204-8717
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
000
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10055
—
CA
Enumeration date
09/02/2012
Last updated
09/02/2012
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