Organization · Type 2 NPI

Pacific CDDC

Medical Specialty Clinic/Center · Costa Mesa, CA

NPI number 1861936601 Active

Practice location

1640 Newport Blvd, Suite 350
Costa Mesa, CA 92627-3786

Call (949) 386-5260 Map

Fax (949) 515-0031

Mailing address

PO Box 54708
Los Angeles, CA 90054-0708

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XNone listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

36 other providers at this address

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About NPI 1861936601

Pacific CDDC's National Provider Identifier is 1861936601, issued on Dec 13, 2016. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Costa Mesa, CA. The record was last updated on Dec 13, 2016.