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COUNTY OF ORANGE NPI 1194862383


NPI Information

NPI: 1194862383
Provider Name: COUNTY OF ORANGE

Doing Business As: AMHS ALISO VIEJO

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

CLIA Number: 05D2288724

Address:
5 MAREBLU
SUITE 200, 250
ALISO VIEJO, CA
ZIP 92656
Phone: (949) 643-6930
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COUNTY OF ORANGE is an adult mental health clinic center in Aliso Viejo, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. COUNTY OF ORANGE NPI is 1194862383. The provider is registered as an organization entity type.
The provider Is Doing Business As Amhs Aliso Viejo.

The provider's business location address is:

5 MAREBLU
SUITE 200, 250
ALISO VIEJO, CA
ZIP 92656-014
Phone: (949) 643-6930
Fax: (949) 362-5834

The provider's authorized official is Chi Y Rajalingam .
The authorized official title is Chief Compliance Officer and has the following contact phone number (714) 834-3154.

The CLIA number assigned to this NPI record is 05D2288724 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 12/20/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18003MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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