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Susan Samueli Center
Multi-Specialty Clinic/Center in Costa Mesa, California
NPI 1588036289

Susan Samueli Center is a Multi-Specialty Clinic/Center based in Los Angeles, CA and is specialized in Multi-Specialty. Susan Samueli Center practices in Costa Mesa, CA. The NPI Number for Susan Samueli Center is 1588036289 and holds a License No. (California).

The current practice location address for Susan Samueli Center is 1202 Bristol St, Costa Mesa, CA and can be reached out via phone at 714-424-9001 and via fax at 714-424-9005.

Location: 1202 Bristol St, Costa Mesa, CA, 90054-0559
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588036289
Provider Name
Susan Samueli Center
Credential
Provider Entity Type
Organization
Address
1202 Bristol St, Costa Mesa, CA, 90054-0559
Phone Number
714-424-9001
Fax Number
714-424-9005
Provider Enumeration Date
10/21/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1202 Bristol St
City
Costa Mesa
State
California
Zip
92626-8605
Phone Number
714-424-9001
Fax Number
714-424-9005
person
Provider Business Mailing Address Details
Address
1202 Bristol St
City
Costa Mesa
State
California
Zip
92626-8605
Phone Number
714-424-9001
Fax Number
714-424-9005
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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