Organization · Type 2 NPI
Share Our Selves Corporation
Federally Qualified Health Center (FQHC) · Anaheim, CA
NPI number
1184279952
Active
Practice location
1000 N Kraemer Pl Ste 204
Anaheim, CA 92806-2610
Fax (949) 650-4458
Mailing address
PO Box 10159
Costa Mesa, CA 92627-0050
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1184279952
Share Our Selves Corporation's National Provider Identifier is 1184279952, issued on Aug 7, 2019. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Anaheim, CA. The record was last updated on Jul 29, 2020.