PACIFIC CDDC

COSTA MESA, CA
NPI1861936601
Entity TypeOrganization
Authorized ContactMANUEL PORTO
President
714-456-2986
Organization Subpart ?Yes
Primary Taxonomy261QM2500X Clinic/Center, Medical Specialty
Enumeration Date2016-12-13
Last Update Date2016-12-13
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 54708
LOS ANGELES, CA 90054-0708
Phone number: 714-456-3856