PACIFIC CDDC
NPI 1861936601
Clinic/Center - Medical Specialty in Costa Mesa, CA
- Organization
- Clinic/Center
- Medical Specialty
About PACIFIC CDDC
This page provides the complete NPI Profile along with additional information for Pacific Cddc, a provider established in Costa Mesa, California operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1861936601 assigned on December 2016. The practitioner's primary taxonomy code is 261QM2500X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Dr. Manuel Porto M.d. (President)
- NPI
- 1861936601 Verify this NPI
- Provider Name
- PACIFIC CDDC
- Entity Type
- Organization
- Location Address
- 1640 NEWPORT BLVD SUITE 350 COSTA MESA, CA 92627
- Location Phone
- (949) 386-5260
- Location Fax
- (949) 515-0031
- Mailing Address
- PO BOX 54708 LOS ANGELES, CA 90054
- Mailing Phone
- (714) 456-3856
- Mailing Fax
- (714) 456-8101
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 12-13-2016
- Last Update Date
- 12-13-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Medical Specialty
- Taxonomy Code
- 261QM2500X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
COSTA MESA, CA 92627
COSTA MESA, CA 92627
COSTA MESA, CA 92627
COSTA MESA, CA 92627
COSTA MESA, CA 92627
COSTA MESA, CA 92627
COSTA MESA, CA 92627
COSTA MESA, CA 92627
COSTA MESA, CA 92627
COSTA MESA, CA 92627
COSTA MESA, CA 92627
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861936601, enumerated as an "organization" on December 13, 2016.
The provider is located at 1640 NEWPORT BLVD SUITE 350 COSTA MESA, CA 92627 and the phone number is (949) 386-5260.
Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.
