| Saint Youstina | |
|
2200 Harbor Blvd Ste B240 Costa Mesa CA 92627-5875 | |
| (714) 290-6269 | |
| Not Available |
| Full Name | Saint Youstina |
|---|---|
| Speciality | Clinic/Center |
| Location | 2200 Harbor Blvd Ste B240, Costa Mesa, California |
| Authorized Official Name and Position | Isaac Beshay (CEO/CMO) |
| Authorized Official Contact | 7142906269 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Youstina 2200 Harbor Blvd Ste 240 Costa Mesa CA 92627-2501 Ph: (714) 290-6269 | Saint Youstina 2200 Harbor Blvd Ste B240 Costa Mesa CA 92627-5875 Ph: (714) 290-6269 |
| NPI Number | 1144937350 |
|---|---|
| Provider Enumeration Date | 10/28/2022 |
| Last Update Date | 10/28/2022 |
| Medicare PECOS PAC ID | 0840628855 |
|---|---|
| Medicare Enrollment ID | O20230809001921 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144937350 | NPI | - | NPPES |
| 4360542 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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