Organization
CELEBRATING LIFE COMMUNITY HEALTH CENTER
Active
Organization
CELEBRATING LIFE COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SERGEY P SERGEYEV (CEO)
(949) 866-3600
Entity
Organization
Contact information
Practice address
700 W 19TH ST STE A&B, COSTA MESA, CA 92627-3517
(949) 866-3600
Mailing address
27800 MEDICAL CENTER RD STE 110, MISSION VIEJO, CA 92691-6407
(949) 433-6686
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up