Choc Clinic Costa Mesa

LBN: Childrens Hospital Of Orange County
Choc Clinic Costa Mesa is an health care organization with primary practice located at 136 Broadway , Costa Mesa CA 92627-2818. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Childrens Hospital Of Orange County can be contacted via phone (714) 589-4861, or through Cadogan, Gina Sue via phone (714) 289-4818.

Contact Information

Primary practice address
136 Broadway Costa Mesa CA 92627-2818
Phone: (714) 589-4861
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cadogan, Gina Sue C.P.C.
Phone: (714) 289-4818

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X CMM71081F California

Profile Details

NPI number 1528195716
LBN Legal business name Childrens Hospital Of Orange County
DBA Doing business as Choc Clinic Costa Mesa
Authorized official Cadogan, Gina Sue C.P.C.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2007
Last updated Aug 22nd, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528195716 NPPES
California Other CMM71081F GROUP MEDI-CAL ID NUMBER

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