Provider Demographics
NPI:1548725898
Name:NORTH ORANGE COUNTY COMMUNITY COLLEGE DISTRICT
Entity type:Organization
Organization Name:NORTH ORANGE COUNTY COMMUNITY COLLEGE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, STUDENT HEALTH SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:MARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCBRIDE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:714-484-7045
Mailing Address - Street 1:9200 VALLEY VIEW STREET, STUDENT HEALTH SERVICES
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-5805
Mailing Address - Country:US
Mailing Address - Phone:714-484-7361
Mailing Address - Fax:714-484-6041
Practice Address - Street 1:9200 VALLEY VIEW ST
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-5897
Practice Address - Country:US
Practice Address - Phone:714-484-7361
Practice Address - Fax:714-484-6041
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTH ORANGE COUNTY COMMUNITY COLLEGE DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-31
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health
No251300000XAgenciesLocal Education Agency (LEA)