institution
Share Our Selves Corporation
Federally Qualified Health Center (FQHC) in Costa Mesa, California
NPI 1508073685

Share Our Selves Corporation is a Federally Qualified Health Center (FQHC) based in Costa Mesa, CA and is specialized in Federally Qualified Health Center (FQHC). Share Our Selves Corporation practices in Costa Mesa, CA. The NPI Number for Share Our Selves Corporation is 1508073685 and holds a License No. (California).

The current practice location address for Share Our Selves Corporation is 1550 Superior Ave, Costa Mesa, CA and can be reached out via phone at 949-270-2100 and via fax at 949-515-5804.

Location: 1550 Superior Ave, Costa Mesa, CA, 92627-0050
institution
Provider Profile Details
NPI Number
1508073685
Provider Name
Share Our Selves Corporation
Credential
Provider Entity Type
Organization
Address
1550 Superior Ave, Costa Mesa, CA, 92627-0050
Phone Number
949-270-2100
Fax Number
949-515-5804
Provider Enumeration Date
05/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CMM70513F 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
1550 Superior Ave
City
State
Zip
92627-3653
Phone Number
949-270-2100
Fax Number
949-515-5804
person
Provider Business Mailing Address Details
Address
1550 Superior Ave
City
State
Zip
92627-3653
Phone Number
949-270-2100
Fax Number
949-515-5804
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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