Brea Family Care a Medical Corporation
NPI #1457601890 in Brea, California
Provider Information
- NPI Number
- 1457601890
- Entity Type
- Organization
- Organization Name
- Brea Family Care a Medical Corporation
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX INC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Sep 13, 2012
- Last Updated
- Oct 23, 2012
Practice Location
- Address
- 400 W CENTRAL AVE
- Address 2
- 106
- City
- Brea
- State
- California
- ZIP Code
- 92821
- Phone
- (714) 990-1882
Authorized Official
- Name
- KENNY HEINE
- Title
- VP OPS
- Phone
- (858) 964-1506
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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