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Organization

COASTAL MESA CORP.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALEX SADAK (MANAGER)
(657) 203-2133
Entity
Organization

Contact information

Practice address
777 W 19TH ST STE J, COSTA MESA, CA 92627-6131
(657) 203-2133
Mailing address
777 W 19TH ST STE J, COSTA MESA, CA 92627-6131

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
07/01/2020
Last updated
07/01/2020
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