Organization · Type 2 NPI

Evernorth Direct Health LLC

Clinic/Center · Santa Ana, CA

NPI number 1487379640 Active

Practice location

400 W Civic Center Dr Ste 111
Santa Ana, CA 92701-4539

Call (602) 277-1190 Map

Mailing address

25600 N Norterra Dr Bldg A
Phoenix, AZ 85085-8201

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Another provider at this address

Kathy Summers, LCSWClinical Social Worker Santa Ana, CA NPI 1245089853

Other clinic/center providers in Santa Ana

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NPI record

NPI: 1487379640
Entity type: Organization (Type 2)
Issued: Oct 10, 2022
Last updated: Oct 10, 2022
Status: Active
Subpart: Yes of Evernorth Direct Health

Other names

County of Orange Behavioral Health · other name

Authorized official

Deborah Sue Coolidge
Financial Analysis Senior Manager
(623) 277-1170

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1487379640

Evernorth Direct Health LLC's National Provider Identifier is 1487379640, issued on Oct 10, 2022. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Santa Ana, CA. The record was last updated on Oct 10, 2022.