Share Our Selves Corporation
NPI #1649648817 in Newport Beach, California
Provider Information
- NPI Number
- 1649648817
- Entity Type
- Organization
- Organization Name
- Share Our Selves Corporation
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Sep 4, 2015
- Last Updated
- Jul 29, 2020
Practice Location
- Address
- 307 PLACENTIA AVE STE 202
- City
- Newport Beach
- State
- California
- ZIP Code
- 92663-3308
- Phone
- (949) 270-2100
Authorized Official
- Name
- CHRISTY WARD
- Title
- CEO
- Phone
- (949) 536-3927
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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