NPI 1831355544

Telecare

Organisation Preferred Provider Organization Anaheim, CA

Practice location

Address: 2569 W Woodland Dr, Anaheim, CA 92801-2608
Phone: (714) 226-9888
Fax: (714) 226-9887

Authorised official

Name: Stacey Max Nijst
Title: Personal Service Coordinator
Phone: (714) 226-9888

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence I9910608 (CA)

Other Preferred Provider Organization providers in California →

Registry record

NPI: 1831355544
Entity type: Organization
NPI issued: 1 Aug 2008
Record last updated: 1 Aug 2008

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.