Organization · Type 2 NPI
Coastal Mesa Corp.
Multi-Specialty Clinic/Center · Costa Mesa, CA
NPI number
1104443506
Active
Practice location
777 W 19th St Ste J
Costa Mesa, CA 92627-6131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
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About NPI 1104443506
Coastal Mesa Corp.'s National Provider Identifier is 1104443506, issued on Jul 1, 2020. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Costa Mesa, CA. The record was last updated on Jul 1, 2020.