The is a Clinic/Center based in Fullerton, CA. The practices in Brea, CA. The NPI Number for The is 1639544505 and holds a License No. A064054 (California).
The current practice location address for The is 1215 W Imperial Hwy Ste 101, Brea, CA and can be reached out via phone at 714-680-8335 and via fax at 714-680-8314.
Location: 1215 W Imperial Hwy Ste 101, Brea, CA, 92835-1439
Provider Profile Details
NPI Number
1639544505
Provider Name
The
Credential
Provider Entity Type
Organization
Address
1215 W Imperial Hwy Ste 101, Brea, CA, 92835-1439
Phone Number
714-680-8335
Fax Number
714-680-8314
Provider Enumeration Date
12/03/2015
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
1215 W Imperial Hwy Ste 101
City
State
Zip
92821-3738
Phone Number
714-680-8335
Fax Number
714-680-8314
Provider Business Mailing Address Details
Address
1215 W Imperial Hwy Ste 101
City
State
Zip
92821-3738
Phone Number
714-680-8335
Fax Number
714-680-8314
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
A064054 (California)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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