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Brea Family Care a Medical Corporation — NPI 1457601890, Brea, CA | NPI Central

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NPI 1457601890

OrganizationActive

Brea Family Care a Medical Corporation

NPI 1457601890 · Non-Pharmacy Dispensing Site · Brea, CA

Provider details

NPI number: 1457601890
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Parent organization: Medvantx Inc
Organization subpart: Yes
Authorized official: Kenny Heine, Vp Ops(858) 964-1506
License: A60060 (CA)

Specialties & taxonomies

Non-Pharmacy Dispensing SitePrimary332900000XLicense A60060 (CA)
Suppliers

Practice location

400 W Central Ave

106

Brea, CA 92821

Phone: (714) 990-1882

Approximate (ZIP-level) locationGet directions

More CA providers

Mailing address

5626 Oberlin Dr

San Diego, CA 92121-1705

Other names (DBA / former)

Doing business as: Brea Family Care

Registry dates

Enumerated: 2012-09-13
Last updated: 2012-10-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.