| Coastal Mesa Corp. | |
|
777 W 19th St Ste J Costa Mesa CA 92627-6131 | |
| (657) 203-2133 | |
| Not Available |
| Full Name | Coastal Mesa Corp. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 777 W 19th St Ste J, Costa Mesa, California |
| Authorized Official Name and Position | Alex Sadak (MANAGER) |
| Authorized Official Contact | 6572032133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Mesa Corp. 777 W 19th St Ste J Costa Mesa CA 92627-6131 Ph: () - | Coastal Mesa Corp. 777 W 19th St Ste J Costa Mesa CA 92627-6131 Ph: (657) 203-2133 |
| NPI Number | 1104443506 |
|---|---|
| Provider Enumeration Date | 07/01/2020 |
| Last Update Date | 07/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104443506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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