Organization · Type 2 NPI

E-Legacy Apc

Family Medicine Physician · Costa Mesa, CA

NPI number 1801667597 Active

Practice location

2900 Bristol St., Building B Suite 201
Costa Mesa, CA 92626-5981

Call (855) 867-5551 Map

Fax (855) 867-5551

Mailing address

2900 Bristol St Ste B201
Costa Mesa, CA 92626-5948

Specialties and licenses

TaxonomyCodeLicense
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807XNone listed
Licensed Psychiatric Technician 167G00000XNone listed
Family Medicine Physician Primary 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Behavioral Neurology & Neuropsychiatry Physician 2084B0040XNone listed
Psychiatry Physician 2084P0800XNone listed
Child & Adolescent Psychiatry Physician 2084P0804XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1801667597

E-Legacy Apc's National Provider Identifier is 1801667597, issued on Jan 11, 2024. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Costa Mesa, CA. The record was last updated on Dec 10, 2025.