Celebrating Life Community Health Center | |
700 W 19th St Costa Mesa CA 92627-3517 | |
(949) 866-3600 | |
Not Available |
Full Name | Celebrating Life Community Health Center |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 700 W 19th St, Costa Mesa, California |
Authorized Official Name and Position | Sergey P Sergeyev (CEO) |
Authorized Official Contact | 9498663600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Celebrating Life Community Health Center 27271 Las Ramblas Ste 350 Mission Viejo CA 92691-8004 Ph: (949) 866-3600 | Celebrating Life Community Health Center 700 W 19th St Costa Mesa CA 92627-3517 Ph: (949) 866-3600 |
NPI Number | 1699520809 |
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Provider Enumeration Date | 04/22/2024 |
Last Update Date | 04/22/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699520809 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Nazli Ahmed, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 Victoria St, # 2m, Costa Mesa, CA 92627 Phone: 949-642-5390 Fax: 949-642-1224 | |
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Newport Mesa Medical Group, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 275 Victoria St, Ste 1e, Costa Mesa, CA 92627 Phone: 949-574-3615 |