Provider Demographics
NPI:1912134354
Name:ORANGE COUNTY HEALTHCARE AGENCY
Entity Type:Organization
Organization Name:ORANGE COUNTY HEALTHCARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HUMAN RESOURCES RECRUITING SPECIALI
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIVEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPULONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-834-2766
Mailing Address - Street 1:13701 ONKAYHA CIR
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92620-3238
Mailing Address - Country:US
Mailing Address - Phone:714-600-8719
Mailing Address - Fax:
Practice Address - Street 1:405 W 5TH ST
Practice Address - Street 2:#300
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-4599
Practice Address - Country:US
Practice Address - Phone:714-834-2766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-12
Last Update Date:2009-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA697829284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital