| Hotel California By The Sea, Llc | |
|
230 E 17th St Ste 201 Costa Mesa CA 92627-3891 | |
| (800) 762-6717 | |
| Not Available |
| Full Name | Hotel California By The Sea, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 230 E 17th St Ste 201, Costa Mesa, California |
| Authorized Official Name and Position | Kevin Mello (PRESIDENT) |
| Authorized Official Contact | 8007626717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hotel California By The Sea, Llc 2811 Villa Way Newport Beach CA 92663-3728 Ph: () - | Hotel California By The Sea, Llc 230 E 17th St Ste 201 Costa Mesa CA 92627-3891 Ph: (800) 762-6717 |
| NPI Number | 1518429612 |
|---|---|
| Provider Enumeration Date | 04/05/2019 |
| Last Update Date | 02/14/2020 |
| Certification Date | 02/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518429612 | NPI | - | NPPES |
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