National Provider Identifier Database

THC ORANGE COUNTY LLC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

THC - ORANGE COUNTY, LLC
550 N MONTEREY AVE
ONTARIO, CA91764
Phone: 909-391-0333
Fax: 909-391-2892
Website:
Specialty Taxonomy Code
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for THC - ORANGE COUNTY, LLC

NPI Number 1578795738
Legal business name
LBN
THC - ORANGE COUNTY, LLC
Authorized official MOSTAFA DARVISH - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 08/20/2009
Last updated 07/19/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • CA Medicaid: HSP30041K
  • CA Other: ZZZ94036Z BLUE CROSS

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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