Provider Demographics
NPI:1679849038
Name:ORANGE COUNTY HEALTHCARE INC
Entity Type:Organization
Organization Name:ORANGE COUNTY HEALTHCARE INC
Other - Org Name:CA FAMILY MEDICAL CENTER & URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:7146258320
Authorized Official - Prefix:
Authorized Official - First Name:SUHEIR
Authorized Official - Middle Name:
Authorized Official - Last Name:KILANI
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:714-625-8320
Mailing Address - Street 1:9918 KATELLA AVE.
Mailing Address - Street 2:SUITE C
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-6466
Mailing Address - Country:US
Mailing Address - Phone:714-625-8320
Mailing Address - Fax:657-999-6396
Practice Address - Street 1:9918 KATELLA AVE
Practice Address - Street 2:C
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-6465
Practice Address - Country:US
Practice Address - Phone:714-625-8320
Practice Address - Fax:714-583-7660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-29
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty