Organization
SHARE OUR SELVES CORPORATION
Active
Other names
SOS Children & Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY WARD (CEO)
(949) 536-3927
Entity
Organization
Contact information
Practice address
307 PLACENTIA AVE STE 107, NEWPORT BEACH, CA 92663-3307
(949) 270-2100
(949) 650-4458
Mailing address
PO BOX 10159, COSTA MESA, CA 92627-0050
(949) 270-2100
(949) 515-5804
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/23/2014
Last updated
02/22/2021
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