THC - ORANGE COUNTY, LLC; NPI #1578795738

Contact Information

THC - ORANGE COUNTY, LLC

550 N MONTEREY AVE
ONTARIO, CA 91764

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

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NPI Profile & details for THC - ORANGE COUNTY, LLC

NPI # 1578795738

LBN Legal business name THC - ORANGE COUNTY, LLC

Authorized official MOSTAFA DARVISH - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/20/2009

Last updated 07/19/2018 - About 8 years ago

Identifiers

CA	Medicaid	HSP30041K
CA	Other	ZZZ94036Z	BLUE CROSS

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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THC - ORANGE COUNTY, LLC

Contact Information

Specialty

General Practice

NPI Profile & details for THC - ORANGE COUNTY, LLC

Reviews for THC - ORANGE COUNTY, LLC