Orange Coast Medical Assoc in Costa Mesa - Specialist
Orange Coast Medical Assoc - NPI 1164647921
Orange Coast Medical Assoc is a Specialist in Costa Mesa, California. Orange Coast Medical Assoc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Orange Coast Medical Assoc is 1164647921. The last update date is 2020-08-22.
Orange Coast Medical Assoc's current location address is 3011 Harbor Blvd, Costa Mesa, California. You can contact this provider via phone number 9512789035. The mailing address for Orange Coast Medical Assoc is 3011 Harbor Blvd, Costa Mesa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Orange Coast Medical Assoc |
|---|---|
| Address | 3011 Harbor Blvd, Costa Mesa, California |
| Phone Number | 9512789035 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE ADM |
|---|---|
| Authorized Official Name | Cavanaugh Paula |
| Telephone Number | 9512789035 |
NPI Number Detail
| NPI Number | 1164647921 |
|---|---|
| Provider Enumeration Date | 2007-04-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3011 Harbor Blvd |
|---|---|
| City | Costa Mesa |
| State | California (CA) |
| Post Code | 926262504 |
| Phone Number | 9512789035 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | A71393 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique 10-digit identification code issued to Orange Coast Medical Assoc by the Centers for Medicare & Medicaid Services?
The Orange Coast Medical Assoc has been assigned the NPI (National Provider Identifier) 1164647921 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Orange Coast Medical Assoc located?
The Orange Coast Medical Assoc is located at 3011 Harbor Blvd, Costa Mesa, CA 926262504.
What is the Orange Coast Medical Assoc's specialty and taxonomy code?
The Orange Coast Medical Assoc's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1164647921 to Orange Coast Medical Assoc?
The Orange Coast Medical Assoc received its 1164647921 assignment from the Centers for Medicare & Medicaid Services on 2007-04-16.
When was the information related to Orange Coast Medical Assoc most recently updated or refreshed?
The details pertaining to the Orange Coast Medical Assoc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.