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Organization
E-LEGACY APC
Active
Organization
E-LEGACY APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAUDIA EPPELE MD (CEO)
(855) 867-5551
Entity
Organization
Contact information
Practice address
2900 BRISTOL ST., BUILDING B SUITE 201, COSTA MESA, CA 92626-5981
(855) 867-5551
(855) 867-5551
Mailing address
2900 BRISTOL ST STE B201, COSTA MESA, CA 92626-5948
(855) 867-5551
(855) 867-5551
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
—
167G00000X
Licensed Psychiatric Technician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/11/2024
Last updated
12/10/2025
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