Laguna Beach Community Clinic

NPI 1225149222 - Clinic/Center - 261QC1500X

NPI Details
NPI 1225149222
Enumeration Date 08/31/2006
Last Updated 09/24/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name THOMAS C. THOMAS
Position COO
Phone (949) 494-0761
Fax (949) 494-3154
Practice Location
362 3RD ST
LAGUNA BEACH CA, 92651-2307, US
Phone (949) 494-0761
Fax (949) 494-3154
Business Location
362 3RD ST
LAGUNA BEACH CA, 92651-2307, US
Phone (949) 494-0761
Fax (949) 494-3154
Toxanomy
Taxonomy Code 261QC1500X
License State California
License Number 596420
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According to our database, Laguna Beach Community Clinic NPI is 1225149222, taxonomy code is 261QC1500X and license number is 596420, license state is located at California. Laguna Beach Community Clinic physically located at 362 3rd St, Laguna Beach CA, 92651-2307. NPI Number 1033115704 has the healthcare provider type.

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1225149222 NPI number is provided on an as is basis without warranty of any kind. 1225149222 is maintained by the National Plan & Provider Enumeration System. The contents of Laguna Beach Community Clinic are for informational purposes only.