Provider Demographics
NPI:1225714322
Name:MEDICA HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:MEDICA HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:FRED
Authorized Official - Middle Name:F
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-599-8399
Mailing Address - Street 1:3 POINTE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-7623
Mailing Address - Country:US
Mailing Address - Phone:714-599-8399
Mailing Address - Fax:714-599-8388
Practice Address - Street 1:3 POINTE DR STE 100
Practice Address - Street 2:
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-7623
Practice Address - Country:US
Practice Address - Phone:714-599-8399
Practice Address - Fax:714-599-8388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-23
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care