Organization
PACIFIC COAST MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CODY GREGG (AUTHORIZED OFFICIAL)
(949) 528-8021
Entity
Organization
Contact information
Practice address
2798 WAXWING CIR, COSTA MESA, CA 92626-4850
(949) 528-8021
Mailing address
2108 N ST # 9084, SACRAMENTO, CA 95816-5712
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/26/2023
Last updated
02/27/2026
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