Breakwater Medical Group Llc

LBN: Breakwater Medical Group Llc
Breakwater Medical Group Llc is an health care organization with primary practice located at 357 Victoria St Suite 2, Costa Mesa CA 92627-1931. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Breakwater Medical Group Llc can be contacted via phone (949) 903-1053, or through Luchini, Matt via phone (928) 533-4220.

Contact Information

Primary practice address
357 Victoria St Suite 2 Costa Mesa CA 92627-1931
Phone: (949) 903-1053
Fax: (877) 820-8959
Website:
Map and Directions
Authorized official contact:
Name: Luchini, Matt
Phone: (928) 533-4220

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 05D2040895 California

Profile Details

NPI number 1497019111
LBN Legal business name Breakwater Medical Group Llc
DBA Doing business as
Authorized official Luchini, Matt
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2012
Last updated Jun 27th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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