Organization
CONSULTANTS FOR CONCEPT DEVELOPMENT
Active
Parent organization
CONSULTANTS FOR CONCEPT DEVELOPMENT
Other names
ANAHEIM PRIMARY CARE MEDICAL CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONSULTANTS FOR CONCEPT DEVELOPMENT
Authorized official
CANDICE LEE JUNSAY PH.D (ADMINISTRATOR)
(714) 635-0363
Entity
Organization
Contact information
Practice address
1723 W BALL RD, ANAHEIM, CA 92804-5502
(714) 635-0363
(714) 772-2994
Mailing address
1723 W BALL RD, ANAHEIM, CA 92804-5502
(714) 635-0363
(714) 772-2994
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
BUS007-02128
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A481003
—
CA
Enumeration date
11/28/2007
Last updated
11/28/2007
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