institution
Community Seniorserv, Inc.
Health Service Clinic/Center in Santa Ana, California
NPI 1710104344

Community Seniorserv, Inc. is a Health Service Clinic/Center based in Anaheim, CA and is specialized in Health Service. Community Seniorserv, Inc. practices in Santa Ana, CA. The NPI Number for Community Seniorserv, Inc. is 1710104344 and holds a License No. 060000064 (California).

The current practice location address for Community Seniorserv, Inc. is 1101 S Grand Ave, Santa Ana, CA and can be reached out via phone at 714-558-1216 and via fax at 714-564-0386. You can also correspond with Community Seniorserv, Inc. through the mailing address at 1200 N KNOLLWOOD CIR, ANAHEIM, CA - 92801-1309 (mailing address contact number: 714-220-0224).

Location: 1101 S Grand Ave, Santa Ana, CA, 92801-1309
institution
Provider Profile Details
NPI Number
1710104344
Provider Name
Community Seniorserv, Inc.
Credential
Provider Entity Type
Organization
Address
1101 S Grand Ave, Santa Ana, CA, 92801-1309
Phone Number
714-558-1216
Fax Number
714-564-0386
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
013679 01 CA SCAN PROVIDER ID
ADU70080F 05 CA
institution
Provider Business Practice Location Address Details
Address
1101 S Grand Ave
City
State
Zip
92705-4100
Phone Number
714-558-1216
Fax Number
714-564-0386
person
Provider Business Mailing Address Details
Address
1200 N Knollwood Cir
City
State
Zip
92801-1309
Phone Number
714-220-0224
Fax Number
714-816-7397
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
060000064 (California)
Definition
Definition to come...
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