Organization
BACKBAY HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER J. MURAN MD (PARTNER)
(949) 434-0183
Entity
Organization
Contact information
Practice address
2488 NEWPORT BLVD STE A, COSTA MESA, CA 92627-5196
(805) 704-5705
(714) 886-2570
Mailing address
2488 NEWPORT BLVD STE A, COSTA MESA, CA 92627-5196
(805) 704-5705
(714) 886-2570
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
A43078
CA
Other
Enumeration date
07/13/2017
Last updated
07/21/2022
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