Organization · Type 2 NPI

Share Our Selves Corporation

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

NPI number 1629890348 Active

Practice location

1650 Adams Ave
Costa Mesa, CA 92626-4958

Mailing address

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

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 1629890348

Share Our Selves Corporation's National Provider Identifier is 1629890348, issued on Oct 25, 2024. 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 25, 2024.