Organization
CELEBRATING LIFE COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERGEY P SERGEYEV MPA (CEO)
(949) 866-3600
Entity
Organization
Contact information
Practice address
700 W 19TH ST, COSTA MESA, CA 92627-3517
(949) 866-3600
Mailing address
27271 LAS RAMBLAS STE 350, MISSION VIEJO, CA 92691-8004
(949) 866-3600
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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