SOCO DBT

NEWPORT BEACH, CA
NPI1033631718
Doing Business AsSOCO DBT
Entity TypeOrganization
Authorized ContactCOURTNEY WESTIN
Owner
949-524-1509
Organization Subpart ?No
Primary Taxonomy251S00000X 
Additional Taxonomies305R00000X Preferred Provider Organization
Enumeration Date2017-07-13
Last Update Date2022-07-21
Business Address
SOCO DBT
1001 DOVE ST STE 215
NEWPORT BEACH, CA 92660
Phone number: 949-524-1509
Mailing Address
SOCO DBT
1001 DOVE ST STE 215
NEWPORT BEACH, CA 92660-2848
Phone number: 949-524-1509