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Organization

ST. JOSEPH HOSPITAL OF ORANGE

Active
Other names
La Amistad De Jose Family Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALAN H GARRETT (CHIEF OPERATING OFFICER)
(714) 771-8000
Entity
Organization

Contact information

Practice address
353 S MAIN ST, ORANGE, CA 92868-3833
(714) 771-8006
(714) 744-8630
Mailing address
353 S MAIN ST, ORANGE, CA 92868-3833
(714) 771-8006
(714) 744-8630

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CMM70367F
CA
01
EAP70367F
(EAPC) EXPANDED ACCESS PR
CA
01
G93665-01
DENTI-CAL
CA
Enumeration date
04/11/2007
Last updated
08/22/2020
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