| NPI | 1104963347 |
|---|---|
| Doing Business As | HEALTH CARE AGENCY |
| Entity Type | Organization |
| Authorized Contact | CHI Y RAJALINGAM Chief Compliance Officer 714-834-3154 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QP0905X Clinic/Center, Public Health, State or Local | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 291U00000X Clinical Medical Laboratory | |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2019-12-20 |