Organization · Type 2 NPI

Share Our Selves Corporation

Federally Qualified Health Center (FQHC) · Costa Mesa, CA

NPI number 1144717778 Active

Practice location

1550 Superior Ave
Costa Mesa, CA 92627-3653

Call (949) 270-2135 Map

Mailing address

PO Box 10159
Costa Mesa, CA 92627-0050

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed
Community/Retail Pharmacy 3336C0003XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1144717778

Share Our Selves Corporation's National Provider Identifier is 1144717778, issued on Apr 19, 2018. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Costa Mesa, CA. The record was last updated on Oct 15, 2024.