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COMMUNITY CARE HEALTH CENTERS NPI 1194871137


NPI Information

NPI: 1194871137
Provider Name: COMMUNITY CARE HEALTH CENTERS

Doing Business As: CLINIC FOR WOMEN

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 05D0903923

Address:
1241 W 17TH ST
SUITE 1
SANTA ANA, CA
ZIP 92706
Phone: (714) 285-9811
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COMMUNITY CARE HEALTH CENTERS is an obstetrics gynecology in Santa Ana, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. COMMUNITY CARE HEALTH CENTERS NPI is 1194871137. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Clinic For Women.

The provider's business location address is:

1241 W 17TH ST
SUITE 1
SANTA ANA, CA
ZIP 92706-459
Phone: (714) 285-9811
Fax: (714) 285-9822

The provider's authorized official is Tracey K Gould .
The authorized official title is Cfo and has the following contact phone number (714) 500-0200.

The CLIA number assigned to this NPI record is 05D0903923 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/25/2007 and was last updated on 7/21/2008.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology550000166CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1BCP71134FMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIACDPEWC
2CMM71134FMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
3FHC71134FMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
4HAP71134FMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAFAMILY PACT

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: 5/5/2024

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