Organization · NPI-2

21st Century Medical Corp.

Public Health or Welfare · Santa Ana, CA

NPI number1669509170
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1669509170
Entity type
Organization (NPI-2)
Legal business name
21st Century Medical Corp.
Organization subpart
No
Enumeration date
Feb 28, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251K00000X Public Health or Welfare––Yes

Practice location

1921 Carnegie Ave
Suite 3-K
Santa Ana, CA 92705-5510

Phone 949-851-8185

Mailing address

1921 Carnegie Ave
Suite 3-K
Santa Ana, CA 92705-5510

Authorized official

Don Ellis
President
9498518185

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