| Laguna Beach Community Clinic | |
|
362 3rd St Laguna Beach CA 92651-2307 | |
| (949) 494-0761 | |
| (949) 494-3154 |
| Full Name | Laguna Beach Community Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 362 3rd St, Laguna Beach, California |
| Authorized Official Name and Position | Jorge Rubal (CEO/CMO) |
| Authorized Official Contact | 9494940761 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laguna Beach Community Clinic 362 3rd St Laguna Beach CA 92651-2307 Ph: (949) 494-0761 | Laguna Beach Community Clinic 362 3rd St Laguna Beach CA 92651-2307 Ph: (949) 494-0761 |
| NPI Number | 1225149222 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 02/26/2025 |
| Certification Date | 02/26/2025 |
| Medicare PECOS PAC ID | 5991861197 |
|---|---|
| Medicare Enrollment ID | O20090312000261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225149222 | NPI | - | NPPES |
| EAP11948F | Other | CA | EAPC |
| ZZT11948F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 596420 (California) | Primary |
| Provider Name | Jorge Rubal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174713911 PECOS PAC ID: 2466542485 Enrollment ID: I20071214000134 |
| Provider Name | Farangis Jalali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841312972 PECOS PAC ID: 4183845076 Enrollment ID: I20141017000592 |
| Provider Name | Chau M Ngo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477613339 PECOS PAC ID: 2769705516 Enrollment ID: I20141231000058 |
| Provider Name | Diana Irene Lithgow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063634715 PECOS PAC ID: 1052709706 Enrollment ID: I20211028002421 |
| Provider Name | Stephanie Ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720554306 PECOS PAC ID: 4082092168 Enrollment ID: I20220601001904 |
| Provider Name | Andrea Stokke |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1942879168 PECOS PAC ID: 0446733687 Enrollment ID: I20260316001494 |
Cam MD Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1968 S Coast Hwy # 401, Laguna Beach, CA 92651 Phone: 801-508-4155 |
GT Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1968 S Coast Hwy # 634, Laguna Beach, CA 92651 Phone: 619-780-4839 |
Dewing Medicine Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 31862 Coast Hwy Ste 200, Laguna Beach, CA 92651 Phone: 949-340-5454 Fax: 949-340-5454 |
Laguna Eyes Optometry PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 S Coast Hwy, Ste 201, Laguna Beach, CA 92651 Phone: 949-497-1769 Fax: 949-497-2808 |
C Hinchliffe Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31852 Coast Hwy, 400, Laguna Beach, CA 92651 Phone: 949-499-2707 Fax: 949-499-2067 |
Bluebird Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Broadway St Ste 103, Laguna Beach, CA 92651 Phone: 949-627-5437 |