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Contact Information

THC - ORANGE COUNTY, LLC
550 N MONTEREY AVE
ONTARIO, CA91764
 Phone: 909-391-0333
 Fax: 909-391-2892
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for THC ORANGE COUNTY LLC · (Female)

NPI # 1578795738
Status Active
Credentials
Entity Individual
Enumeration date 08/20/2009
Last updated 07/19/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA Medicaid HSP30041K
  • CA Other ZZZ94036Z BLUE CROSS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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