PACIFIC CDDC is a medical specialty clinic center in Costa Mesa, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). PACIFIC CDDC NPI is 1124402284. The provider is registered as an organization entity type.
The provider's business location address is:
1640 NEWPORT BLVD
SUITE 350
COSTA MESA, CA
ZIP 92627-786
Phone: (949) 386-5260
Fax: (949) 515-0031
The provider's authorized official is Manuel Porto .
The authorized official title is Interim President and has the following contact phone number (714) 456-2986.
The CLIA number assigned to this NPI record is 05D2096168 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/17/2015 and was last updated on 7/17/2015.