Pacific Breast Care Center
NPI #1336521228 in Costa Mesa, California
Provider Information
- NPI Number
- 1336521228
- Entity Type
- Organization
- Organization Name
- Pacific Breast Care Center
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- REGENTS OF UNIVERSITY OF CALIFORNIA
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Jun 26, 2015
- Last Updated
- Jun 26, 2015
Practice Location
- Address
- 1640 NEWPORT BLVD
- Address 2
- SUITE 200
- City
- Costa Mesa
- State
- California
- ZIP Code
- 92627-3786
- Phone
- (949) 515-3544
Authorized Official
- Name
- DR. MANUEL PORTO, MD
- Title
- INTERIM PRESIDENT
- Phone
- (714) 456-2986
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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