Celebrating Life Community Health Center

LBN: Celebrating Life Community Health Center
Celebrating Life Community Health Center is an health care organization with primary practice located at 700 W 19Th St , Costa Mesa CA 92627-3517. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Celebrating Life Community Health Center can be contacted via phone (949) 866-3600, or through Sergeyev, Sergey P via phone (949) 866-3600.

Contact Information

Primary practice address
700 W 19Th St Costa Mesa CA 92627-3517
Phone: (949) 866-3600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sergeyev, Sergey P Master of Public Administration (MPA)
Phone: (949) 866-3600

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1699520809
LBN Legal business name Celebrating Life Community Health Center
DBA Doing business as
Authorized official Sergeyev, Sergey P Master of Public Administration (MPA)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2024
Last updated Apr 22nd, 2024 - about 8 months 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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