| Laguna Beach Community Clinic | |
|
362 3rd St Laguna Beach CA 92651-2307 | |
| (949) 494-0761 | |
| (949) 494-3154 |
| Full Name | Laguna Beach Community Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 362 3rd St, Laguna Beach, California |
| Authorized Official Name and Position | Thomas C. Bent (COO) |
| Authorized Official Contact | 9494940761 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laguna Beach Community Clinic 362 3rd St Laguna Beach CA 92651-2307 Ph: (949) 494-0761 | Laguna Beach Community Clinic 362 3rd St Laguna Beach CA 92651-2307 Ph: (949) 494-0761 |
| NPI Number | 1225149222 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 09/24/2008 |
| Medicare PECOS PAC ID | 5991861197 |
|---|---|
| Medicare Enrollment ID | O20090312000261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225149222 | NPI | - | NPPES |
| EAP11948F | Other | CA | EAPC |
| ZZT11948F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 596420 (California) | Primary |
| Provider Name | Jorge Rubal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174713911 PECOS PAC ID: 2466542485 Enrollment ID: I20071214000134 |
| Provider Name | Niall M Cullen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659451979 PECOS PAC ID: 2062545676 Enrollment ID: I20100803001104 |
| Provider Name | William C Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811093982 PECOS PAC ID: 3274720958 Enrollment ID: I20101207000677 |
| Provider Name | Thomas Bent |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093876583 PECOS PAC ID: 6002973294 Enrollment ID: I20110105000912 |
| Provider Name | Pamela A Lawrence |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336299734 PECOS PAC ID: 5294915633 Enrollment ID: I20110202000410 |
| Provider Name | Janet M Chance |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518053289 PECOS PAC ID: 2567528185 Enrollment ID: I20120221000981 |
| Provider Name | Farangis Jalali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841312972 PECOS PAC ID: 4183845076 Enrollment ID: I20141017000592 |
| Provider Name | Chau M Ngo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477613339 PECOS PAC ID: 2769705516 Enrollment ID: I20141231000058 |
| Provider Name | Diana Irene Lithgow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063634715 PECOS PAC ID: 1052709706 Enrollment ID: I20211028002421 |
| Provider Name | Judith W Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639186067 PECOS PAC ID: 9537557038 Enrollment ID: I20211103001279 |
| Provider Name | Stephanie Ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720554306 PECOS PAC ID: 4082092168 Enrollment ID: I20220601001904 |
| Provider Name | Ana Karina Salazar |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578250536 PECOS PAC ID: 9739532805 Enrollment ID: I20240125002341 |
| Provider Name | Pablo Jose Padilla |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1760711501 PECOS PAC ID: 8022453745 Enrollment ID: I20240304001659 |
Cam Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1968 S Coast Hwy # 401, Laguna Beach, CA 92651 Phone: 801-508-4155 | |
Gabrielle Thompson Wy Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1968 S Coast Hwy # 634, Laguna Beach, CA 92651 Phone: 619-780-4839 | |
Dewing Medicine Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 31862 Coast Hwy Ste 200, Laguna Beach, CA 92651 Phone: 949-340-5454 Fax: 949-340-5454 | |
Laguna Eyes Optometry Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 S Coast Hwy, Ste 201, Laguna Beach, CA 92651 Phone: 949-497-1769 Fax: 949-497-2808 | |
C Hinchliffe Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31852 Coast Hwy, 400, Laguna Beach, CA 92651 Phone: 949-499-2707 Fax: 949-499-2067 | |
Bluebird Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Broadway St Ste 103, Laguna Beach, CA 92651 Phone: 949-627-5437 |