Organization
B & G MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH CASTO (DIRECTOR OF COMPLIANCE)
(949) 612-2712
Entity
Organization
Contact information
Practice address
4000 BIRCH ST STE 112B, NEWPORT BEACH, CA 92660-2211
(949) 422-4747
Mailing address
4000 BIRCH ST STE 112B, NEWPORT BEACH, CA 92660-2211
(949) 422-4747
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
300293AP
CA
Other
Enumeration date
06/03/2016
Last updated
02/29/2024
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