Southland Integrated Services, Inc.
NPI #1134636889 in Santa Ana, California
Provider Information
- NPI Number
- 1134636889
- Entity Type
- Organization
- Organization Name
- Southland Integrated Services, Inc.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jan 3, 2018
- Last Updated
- Feb 27, 2019
Practice Location
- Address
- 1200 N MAIN ST STE 300
- City
- Santa Ana
- State
- California
- ZIP Code
- 92701-3625
- Phone
- (714) 480-7629
Authorized Official
- Name
- TRICIA THAO NGUYEN, M.P.H.
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (714) 620-7007
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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