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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