Community Outreach Medical Services

LBN: Community Outreach Medical Services
Community Outreach Medical Services is an health care organization with primary practice located at 1200 N. Tustin Ave Suite 130, Santa Ana CA 92705-3501. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Community Health is the primary health care specialty. Community Outreach Medical Services can be contacted via phone (657) 600-9077, or through Flores, Jacob Nava via phone (760) 809-4045.

Contact Information

Primary practice address
1200 N. Tustin Ave Suite 130 Santa Ana CA 92705-3501
Phone: (657) 600-9077
Fax: (657) 600-9076
Website:
Map and Directions
Authorized official contact:
Name: Flores, Jacob Nava Doctor of Medicine (MD)
Phone: (760) 809-4045

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X A60865 California
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1487947842
LBN Legal business name Community Outreach Medical Services
DBA Doing business as
Authorized official Flores, Jacob Nava Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2011
Last updated May 13th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487947842 NPPES
California Other A60865 CALIFORNIA MEDICAL LICENSE

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