PACIFIC CDDC

COSTA MESA, CA
NPI1124402284
Entity TypeOrganization
Authorized ContactMANUEL PORTO
Interim President
714-456-2986
Organization Subpart ?Yes
Primary Taxonomy261QM2500X Clinic/Center, Medical Specialty
Enumeration Date2015-07-17
Last Update Date2015-07-17
Business Address
PACIFIC CDDC
1640 NEWPORT BLVD SUITE 350
COSTA MESA, CA 92627-3786
Phone number: 949-386-5260
Mailing Address
PACIFIC CDDC
PO BOX 54509
LOS ANGELES, CA 90054-0509
Phone number: 714-456-3856
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