Driving Fitness Evaluations
Health Maintenance Organization in Garden Grove, CA. Organization (NPI-2).
NPI number1154776045
StatusActive
Last updated in NPPESApr 28, 2016
Details
- NPI
- 1154776045
- Entity type
- Organization (NPI-2)
- Legal business name
- Driving Fitness Evaluations
- Organization subpart
- No
- Enumeration date
- Apr 28, 2016
- Last updated
- Apr 28, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | – | CA | Yes |
| 261QM2500X | Clinic/Center, Medical Specialty | – | CA |
Other names
- Ernest Callera Santos (Doing Business As)
Practice location
12556 Josephine St Apt DGarden Grove, CA 92841-4657
Phone 562-213-9225
Mailing address
12556 Josephine St Apt DGarden Grove, CA 92841-4657
Phone 562-213-9225
Authorized official
Ernest Callera Santos
Occupational Therapist/Owner
5622098281
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All 8 Health Maintenance Organization providers in Garden Grove · All 5,773 providers in Garden Grove
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