Whalio Doctors

NPI 1013264043

Clinical Buena Salud, INC.

Organisation Non-Pharmacy Dispensing Site Santa Ana, CA

Practice location

Address
520 W 17th St 1, Santa Ana, CA 92706-3614
Phone
(714) 972-2727
Mailing address
5626 Oberlin Dr Suite 110, San Diego, CA 92121-1705

Authorised official

Name
Kenny Heine
Title
Vp Ops
Phone
(858) 964-1506

Registered specialties

Non-Pharmacy Dispensing Site Primary
Suppliers Taxonomy 332900000X Licence PA11046 (CA)

Registry record

NPI
1013264043
Entity type
Organization
NPI issued
9 Aug 2012
Record last updated
25 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.