Provider Demographics
NPI:1487835740
Name:ORANGE COUNTY HEALTH CARE AGENCY
Entity Type:Organization
Organization Name:ORANGE COUNTY HEALTH CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:MRS
Authorized Official - First Name:NGA
Authorized Official - Middle Name:TU
Authorized Official - Last Name:EMMERSON
Authorized Official - Suffix:
Authorized Official - Credentials:BSN
Authorized Official - Phone:714-896-7807
Mailing Address - Street 1:14180 BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-4452
Mailing Address - Country:US
Mailing Address - Phone:714-896-7800
Mailing Address - Fax:
Practice Address - Street 1:14180 BEACH BLVD
Practice Address - Street 2:#206
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-4452
Practice Address - Country:US
Practice Address - Phone:714-896-7807
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-15
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA498812251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare