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Coastal Mesa Corp.
Multi-Specialty Clinic/Center in Costa Mesa, California
NPI 1104443506

Coastal Mesa Corp. is a Multi-Specialty Clinic/Center based in Costa Mesa, CA and is specialized in Multi-Specialty. Coastal Mesa Corp. practices in Costa Mesa, CA. The NPI Number for Coastal Mesa Corp. is 1104443506 and holds a License No. (California).

The current practice location address for Coastal Mesa Corp. is 777 W 19Th St Ste J, Costa Mesa, CA and can be reached out via phone at 657-203-2133.

Location: 777 W 19Th St Ste J, Costa Mesa, CA, 92627-6131
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104443506
Provider Name
Coastal Mesa Corp.
Credential
Provider Entity Type
Organization
Address
777 W 19Th St Ste J, Costa Mesa, CA, 92627-6131
Phone Number
657-203-2133
Fax Number
Provider Enumeration Date
07/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
777 W 19Th St Ste J
City
Costa Mesa
State
California
Zip
92627-6131
Phone Number
657-203-2133
Fax Number
person
Provider Business Mailing Address Details
Address
777 W 19Th St Ste J
City
Costa Mesa
State
California
Zip
92627-6131
Phone Number
657-203-2133
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
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