Organization · Type 2 NPI

Susan Samueli Center

Multi-Specialty Clinic/Center · Costa Mesa, CA

NPI number 1770955593 Active

Practice location

1202 Bristol St, Suite 200
Costa Mesa, CA 92626-8605

Call (714) 424-9001 Map

Fax (714) 424-9005

Mailing address

PO Box 513620
Los Angeles, CA 90051-3620

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

9 other providers at this address

Other multi-specialty clinic/center providers in Costa Mesa

See all in Costa Mesa →

About NPI 1770955593

Susan Samueli Center's National Provider Identifier is 1770955593, issued on Oct 21, 2015. 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 Oct 21, 2015.