Susan Samueli Center

LBN: Susan Samueli Center
Susan Samueli Center is an health care organization with primary practice located at 1202 Bristol St Suite 200, Costa Mesa CA 92626-8605. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Susan Samueli Center can be contacted via phone (714) 424-9001, or through Heydt, John A. via phone (714) 456-2986.

Contact Information

Primary practice address
1202 Bristol St Suite 200 Costa Mesa CA 92626-8605
Phone: (714) 424-9001
Fax: (714) 424-9005
Website:
Map and Directions
Authorized official contact:
Name: Heydt, John A. Doctor of Medicine (MD)
Phone: (714) 456-2986

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1114317872
LBN Legal business name Susan Samueli Center
DBA Doing business as
Authorized official Heydt, John A. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 2nd, 2015
Last updated Feb 2nd, 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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