Provider Demographics
NPI:1629141056
Name:CAREWAYS CHILDREN'S FOUNDATION
Entity Type:Organization
Organization Name:CAREWAYS CHILDREN'S FOUNDATION
Other - Org Name:CAREWORKS COMMUNITY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:HIROSHI
Authorized Official - Last Name:HAYASHIDA
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:714-834-9400
Mailing Address - Street 1:1902 W CHESTNUT AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92703-4304
Mailing Address - Country:US
Mailing Address - Phone:714-834-9400
Mailing Address - Fax:714-834-9494
Practice Address - Street 1:1902 W CHESTNUT AVE
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92703-4304
Practice Address - Country:US
Practice Address - Phone:714-834-9400
Practice Address - Fax:714-834-9494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care