SUSAN SAMUELI CENTER

COSTA MESA, CA
NPI1588036289
Entity TypeOrganization
Authorized ContactMANUEL PORTO
President & C.E.O.
714-456-2986
Organization Subpart ?Yes
Primary Taxonomy261QM1300X Clinic/Center Multi-Specialty
Enumeration Date2015-10-21
Last Update Date2015-10-21
Business Address
SUSAN SAMUELI CENTER
1202 BRISTOL ST SUITE 200
COSTA MESA, CA 92626-8605
Phone number: 714-424-9001
Mailing Address
SUSAN SAMUELI CENTER
PO BOX 54559
LOS ANGELES, CA 90054-0559
Phone number: 714-456-3724
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