Organization
SHARE OUR SELVES CORPORATION
Active
Other names
Share Ourselves
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY WARD (CEO)
(949) 536-3927
Entity
Organization
Contact information
Practice address
1650 ADAMS AVE, COSTA MESA, CA 92626-4958
(949) 270-2100
Mailing address
20151 SW BIRCH ST STE 100, NEWPORT BEACH, CA 92660-1794
(949) 270-2100
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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