Provider Demographics
NPI:1467293530
Name:CNC MED ENTERPRISES INC
Entity type:Organization
Organization Name:CNC MED ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:
Authorized Official - Last Name:CUENTO
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:949-732-8655
Mailing Address - Street 1:2795 W LINCOLN AVE STE C
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-6334
Mailing Address - Country:US
Mailing Address - Phone:714-886-2959
Mailing Address - Fax:
Practice Address - Street 1:3244 ASHTON PL
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93536-9564
Practice Address - Country:US
Practice Address - Phone:949-732-8655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility