# PACIFIC BREAST CARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNIVERSITY OF CALIFORNIA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1144564469
- **Legal business name:** UNIVERSITY OF CALIFORNIA
- **Authorized official:** DR. JOHN A HEYDT M.D. (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (714) 456-2986

## Contact information

- **Practice address:** 1640 NEWPORT BLVD STE 200, COSTA MESA, CA 92627-3786
- **Practice address phone:** (949) 515-3544
- **Practice address fax:** (949) 515-3644
- **Mailing address:** 1640 NEWPORT BLVD STE 200, COSTA MESA, CA 92627-3786
- **Mailing address phone:** (949) 515-3544
- **Mailing address fax:** (949) 515-3644

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 060000148 | CA | Yes |

## Other

- **Enumeration date:** 11/27/2012
- **Last updated:** 11/27/2012