The Open Table
LBN: The Open Table
The Open Table is an health care organization with primary practice located at 151 Kalmus Dr. Bldg C Suite 100, Costa Mesa CA 92626. The organization recently has 7 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Agencies / Voluntary or Charitable, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Corporate Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
The Open Table can be contacted via phone (949) 274-9627, or through Heim, Matthew via phone (949) 274-9627.
Contact Information
Primary practice address
151 Kalmus Dr. Bldg C Suite 100
Costa Mesa CA 92626
Phone: (949) 274-9627
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Agencies / Voluntary or Charitable | 251V00000X | ||
| Ambulatory Health Care Facilities / Community Health | 261QC1500X | ||
| Ambulatory Health Care Facilities / Corporate Health | 261QC1800X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
| NPI number | 1396383022 |
|---|---|
| LBN Legal business name | The Open Table |
| DBA Doing business as | |
| Authorized official | Heim, Matthew M.A., J.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 12th, 2019 |
| Last updated | Dec 12th, 2019 - about 5 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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