Provider Demographics
NPI:1356892509
Name:SANTA FE COMMUNITY HEALTH CENTER
Entity type:Organization
Organization Name:SANTA FE COMMUNITY HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WINKLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-864-4002
Mailing Address - Street 1:12631 IMPERIAL HWY
Mailing Address - Street 2:STE 100
Mailing Address - City:SANTA FE SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:90670-4710
Mailing Address - Country:US
Mailing Address - Phone:562-864-4002
Mailing Address - Fax:
Practice Address - Street 1:12631 IMPERIAL HWY
Practice Address - Street 2:STE 100
Practice Address - City:SANTA FE SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:90670-4710
Practice Address - Country:US
Practice Address - Phone:562-864-4002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-21
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA50311208000000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA50311OtherMEDICAL BOARD OF CALIFORNIA LICENSE NUMBER