Mario Cea, RW7269

NPI 1942621289 · on the registry since 2014 · sole proprietor

Practice

Address: 1525 E. 17th Street
Suit, B
Santa Ana, CA 92705
Phone: (714) 542-0400
Fax: (714) 542-0404
Organisation at this address: The Gary Center
Vista Community Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-01-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California