Sos Center For Health And Innovation | |
20151 Sw Birch St Ste 100 Newport Beach CA 92660-1794 | |
(949) 270-2100 | |
Not Available |
Full Name | Sos Center For Health And Innovation |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 20151 Sw Birch St Ste 100, Newport Beach, California |
Authorized Official Name and Position | Christy Ward (CEO) |
Authorized Official Contact | 9495363927 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sos Center For Health And Innovation Po Box 10159 Costa Mesa CA 92627-0050 Ph: () - | Sos Center For Health And Innovation 20151 Sw Birch St Ste 100 Newport Beach CA 92660-1794 Ph: (949) 270-2100 |
NPI Number | 1346776499 |
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Provider Enumeration Date | 05/11/2017 |
Last Update Date | 07/29/2020 |
Certification Date | 07/29/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346776499 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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