Thc - Orange County, LLC

NPI #1902038169 in Brea, California

Provider Information

NPI Number: 1902038169
Entity Type: Organization
Organization Name: Thc - Orange County, LLC
Primary Specialty: General Practice
Enumeration Date: Aug 20, 2009
Last Updated: Jul 19, 2018

Practice Location

Address: 875 N BREA BLVD
City: Brea
State: California
ZIP Code: 92821
Phone: (714) 529-6842

Authorized Official

Name: MR. MOSTAFA ADAM DARVISH
Title: EXECUTIVE DIRECTOR
Phone: (714) 893-4541

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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