Organization · Type 2 NPI

Share Our Selves Corporation

Federally Qualified Health Center (FQHC) · Newport Beach, CA

NPI number 1346776499 Active

Practice location

20151 SW Birch St Ste 100
Newport Beach, CA 92660-1794

Mailing address

PO Box 10159
Costa Mesa, CA 92627-0050

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1346776499

Share Our Selves Corporation's National Provider Identifier is 1346776499, issued on May 11, 2017. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Newport Beach, CA. The record was last updated on Jul 29, 2020.