| Share Ourselves | |
|
1650 Adams Ave Costa Mesa CA 92626-4958 | |
| (949) 270-2100 | |
| (949) 650-4458 |
| Full Name | Share Ourselves |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1650 Adams Ave, Costa Mesa, California |
| Authorized Official Name and Position | Christy Ward (CEO) |
| Authorized Official Contact | 9495363927 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Share Ourselves Po Box 10159 Costa Mesa CA 92627-0050 Ph: (949) 270-2100 | Share Ourselves 1650 Adams Ave Costa Mesa CA 92626-4958 Ph: (949) 270-2100 |
| NPI Number | 1700638814 |
|---|---|
| Provider Enumeration Date | 04/02/2024 |
| Last Update Date | 08/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700638814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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