Pacific Cddc

LBN: Pacific Cddc
Pacific Cddc is an health care organization with primary practice located at 1640 Newport Blvd Suite 350, Costa Mesa CA 92627-3786. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Pacific Cddc can be contacted via phone (949) 386-5260, or through Porto, Manuel via phone (714) 456-2986.

Contact Information

Primary practice address
1640 Newport Blvd Suite 350 Costa Mesa CA 92627-3786
Fax: (949) 515-0031
Website:
Authorized official contact:
Name: Porto, Manuel Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1124402284
LBN Legal business name Pacific Cddc
DBA Doing business as
Authorized official Porto, Manuel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 17th, 2015
Last updated Jul 17th, 2015 - about 9 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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