| Sunset Shoreline | |
|
1501 Westcliff Dr Ste 309 Newport Beach CA 92660-5519 | |
| (714) 698-4500 | |
| Not Available |
| Full Name | Sunset Shoreline |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1501 Westcliff Dr Ste 309, Newport Beach, California |
| Authorized Official Name and Position | Joseph Killebrew (MEMBER) |
| Authorized Official Contact | 7146984500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunset Shoreline 1501 Westcliff Dr Ste 309 Newport Beach CA 92660-5519 Ph: (714) 698-4500 | Sunset Shoreline 1501 Westcliff Dr Ste 309 Newport Beach CA 92660-5519 Ph: (714) 698-4500 |
| NPI Number | 1609332394 |
|---|---|
| Provider Enumeration Date | 02/18/2019 |
| Last Update Date | 07/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609332394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Secondary |
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