Healing Source Medical, Inc.

LBN: Healing Source Medical, Inc.
Healing Source Medical, Inc. is an health care organization with primary practice located at 1601 Dove St Ste 185 , Newport Beach CA 92660-2441. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Healing Source Medical, Inc. can be contacted via phone (949) 416-2183, or through Chaney, Charles via phone (949) 416-2183.

Contact Information

Primary practice address
1601 Dove St Ste 185 Newport Beach CA 92660-2441
Phone: (949) 416-2183
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Chaney, Charles
Phone: (949) 416-2183

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1649781121
LBN Legal business name Healing Source Medical, Inc.
DBA Doing business as
Authorized official Chaney, Charles
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2017
Last updated Oct 24th, 2017 - about 7 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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