Healthcare Provider Details

I. General information

NPI: 1003762121
Provider Name (Legal Business Name): PRODUCE TO PEOPLE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2026
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

892 W 18TH ST
COSTA MESA CA
92627-4411
US

IV. Provider business mailing address

PO BOX 5435
NEWPORT BEACH CA
92662-5435
US

V. Phone/Fax

Practice location:
  • Phone: 949-673-0073
  • Fax:
Mailing address:
  • Phone: 949-673-0073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN BRAZEEL
Title or Position: CEO/FOUNDER
Credential:
Phone: 949-678-6507