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1104443506
COASTAL MESA CORP.
COSTA MESA, CA
NPI
1104443506
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Entity Type
Organization
Authorized Contact
ALEX SADAK
Manager
657-203-2133
Organization Subpart ?
No
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2020-07-01
Last Update Date
2020-07-01
Business Address
COASTAL MESA CORP.
777 W 19TH ST STE J
COSTA MESA, CA 92627-6131
Phone number: 657-203-2133
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Mailing Address
COASTAL MESA CORP.
777 W 19TH ST STE J
COSTA MESA, CA 92627-6131
Phone number:
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