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Organization

INTEGRATED COMMUNITY HEALTHCARE SOLUTIONS

Active
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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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