Organization
LAGUNA BEACH COMMUNITY CLINIC, INC.
Active
Organization
LAGUNA BEACH COMMUNITY CLINIC, INC.
Active
Other names
Laguna Beach Community Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE RUBAL M.D., M.B.A (CEO/CMO)
(949) 494-0761
Entity
Organization
Contact information
Practice address
362 3RD ST, LAGUNA BEACH, CA 92651-2307
(949) 494-0761
(949) 494-3154
Mailing address
362 3RD ST, LAGUNA BEACH, CA 92651-2307
(949) 494-0761
(949) 494-3154
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
596420
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EAP11948F
EAPC
CA
05
—
ZZT11948F
—
CA
Enumeration date
08/31/2006
Last updated
02/26/2025
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