Choc Clinic Costa Mesa | |
136 Broadway Costa Mesa CA 92627-2818 | |
(714) 589-4861 | |
Not Available |
Full Name | Choc Clinic Costa Mesa |
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Speciality | Clinic/center - Primary Care |
Location | 136 Broadway, Costa Mesa, California |
Authorized Official Name and Position | Gina Sue Cadogan (BILLING MANAGER) |
Authorized Official Contact | 7142894818 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Choc Clinic Costa Mesa 136 Broadway Costa Mesa CA 92627-2818 Ph: (714) 589-4861 | Choc Clinic Costa Mesa 136 Broadway Costa Mesa CA 92627-2818 Ph: (714) 589-4861 |
NPI Number | 1528195716 |
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Provider Enumeration Date | 02/27/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1528195716 | NPI | - | NPPES |
CMM71081F | Other | CA | GROUP MEDI-CAL ID NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | CMM71081F (California) | 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 |