Pacific Cddc

Specialty details in registry · Costa Mesa, CA

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At a glance

1640 Newport Blvd, Costa Mesa, CA 92627-3786

NPPES record updated Dec 13, 2016. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
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Insurance participation and appointment availability are not established by these public records.

Practice location

1640 Newport Blvd Suite 350
Costa Mesa, CA 92627-3786
Professional details: NPI, taxonomy & registry record
NPI1861936601
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QM2500X
Enumeration date
Dec 13, 2016
Record updated
Dec 13, 2016
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QM2500X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1640 Newport Blvd
Suite 350
Costa Mesa, CA 92627-3786
Phone
(949) 386-5260
Fax
(949) 515-0031
Mailing address
PO BOX 54708

LOS ANGELES, CA 900540708
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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