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Pacific Cddc
Medical Specialty Clinic/Center in Costa Mesa, California
NPI 1861936601

Pacific Cddc is a Medical Specialty Clinic/Center based in Los Angeles, CA and is specialized in Medical Specialty. Pacific Cddc practices in Costa Mesa, CA. The NPI Number for Pacific Cddc is 1861936601 and holds a License No. (California).

The current practice location address for Pacific Cddc is 1640 Newport Blvd, Costa Mesa, CA and can be reached out via phone at 949-386-5260 and via fax at 949-515-0031.

Location: 1640 Newport Blvd, Costa Mesa, CA, 90054-0708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861936601
Provider Name
Pacific Cddc
Credential
Provider Entity Type
Organization
Address
1640 Newport Blvd, Costa Mesa, CA, 90054-0708
Phone Number
949-386-5260
Fax Number
949-515-0031
Provider Enumeration Date
12/13/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1640 Newport Blvd
City
Costa Mesa
State
California
Zip
92627-3786
Phone Number
949-386-5260
Fax Number
949-515-0031
person
Provider Business Mailing Address Details
Address
1640 Newport Blvd
City
Costa Mesa
State
California
Zip
92627-3786
Phone Number
949-386-5260
Fax Number
949-515-0031
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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