Provider Demographics
NPI:1982785044
Name:ORANGE COUNTY HEALTH CARE AGENCY
Entity Type:Organization
Organization Name:ORANGE COUNTY HEALTH CARE AGENCY
Other - Org Name:BEHAVIORAL HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:MENTAL HEALTH
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:CORMIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-200-1801
Mailing Address - Street 1:7381 LA TIJERA BLVD # 452071
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-1754
Mailing Address - Country:US
Mailing Address - Phone:213-200-1801
Mailing Address - Fax:
Practice Address - Street 1:-405 W. 5TH ST.,STE 550
Practice Address - Street 2:AMHS
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701
Practice Address - Country:US
Practice Address - Phone:714-480-6767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management