| Celebrating Life Community Health Center | |
|
700 W 19th St Ste A&b Costa Mesa CA 92627-3517 | |
| (949) 866-3600 | |
| Not Available |
| Full Name | Celebrating Life Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 700 W 19th St Ste A&b, Costa Mesa, California |
| Authorized Official Name and Position | Sergey P Sergeyev (CEO) |
| Authorized Official Contact | 9498663600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Celebrating Life Community Health Center 27800 Medical Center Rd Ste 110 Mission Viejo CA 92691-6407 Ph: (949) 433-6686 | Celebrating Life Community Health Center 700 W 19th St Ste A&b Costa Mesa CA 92627-3517 Ph: (949) 866-3600 |
| NPI Number | 1841913951 |
|---|---|
| Provider Enumeration Date | 09/22/2022 |
| Last Update Date | 09/22/2022 |
| Medicare PECOS PAC ID | 4789015140 |
|---|---|
| Medicare Enrollment ID | O20230404002279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841913951 | 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 | |
Roberto N Valenton Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Victoria St, Costa Mesa, CA 92627 Phone: 949-642-2734 | |
Bristol Park Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 722 Baker St, Costa Mesa, CA 92626 Phone: 714-557-6300 Fax: 714-966-9567 | |
Shahrestani Chiropractic Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2328 Newport Blvd, Costa Mesa, CA 92627 Phone: 949-631-3139 Fax: 949-631-0747 | |
Md24 San Diego, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Anton Blvd Ste 1100, Costa Mesa, CA 92626 Phone: 623-374-7774 | |
Coastal Mesa Corp. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 777 W 19th St Ste J, Costa Mesa, CA 92627 Phone: 657-203-2133 | |
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 |