Sos

LBN: Share Our Selves
Sos is an health care organization with primary practice located at 1014 N Broadway , Santa Ana CA 92701-3408. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Share Our Selves can be contacted via phone (949) 270-2132, or through Bruski, Kathleen via phone (949) 270-2132.

Contact Information

Primary practice address
1014 N Broadway Santa Ana CA 92701-3408
Phone: (949) 270-2132
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bruski, Kathleen
Phone: (949) 270-2132

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1871953745
LBN Legal business name Share Our Selves
DBA Doing business as Sos
Authorized official Bruski, Kathleen
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2016
Last updated Mar 4th, 2016 - about 8 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 1871953745 NPPES
California MEDICAID 1508073685

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