Breakaway Health Corporation | |
3151 Airway Ave # D-1d2 Costa Mesa CA 92626-4607 | |
(714) 957-8229 | |
(714) 957-0244 |
Full Name | Breakaway Health Corporation |
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Speciality | Clinic/center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf) |
Location | 3151 Airway Ave # D-1d2, Costa Mesa, California |
Authorized Official Name and Position | Hannah Plaskett (CFO) |
Authorized Official Contact | 7149578229 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Breakaway Health Corporation 3151 Airway Ave Ste D1 Costa Mesa CA 92626-4622 Ph: (714) 957-8229 | Breakaway Health Corporation 3151 Airway Ave # D-1d2 Costa Mesa CA 92626-4607 Ph: (714) 957-8229 |
NPI Number | 1851474225 |
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Provider Enumeration Date | 10/21/2006 |
Last Update Date | 10/01/2024 |
Certification Date | 10/01/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851474225 | NPI | - | NPPES |
300065CP | Other | CA | DHCS LICENSE |
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