Organization · Type 2 NPI

Breakwater Medical Group LLC

Clinical Medical Laboratory · Costa Mesa, CA

NPI number 1497019111 Active

Practice location

357 Victoria St, Suite 2
Costa Mesa, CA 92627-1931

Call (949) 903-1053 Map

Fax (877) 820-8959

Specialties and licenses

TaxonomyCodeLicense
Clinical Medical Laboratory Primary 291U00000X05D2040895 (CA)

Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…

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About NPI 1497019111

Breakwater Medical Group LLC's National Provider Identifier is 1497019111, issued on Jun 27, 2012. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Costa Mesa, CA. The record was last updated on Jun 27, 2012.