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General NPI Number Information
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NPI Number | 1255228953
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Entity Type | Organization
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Legal Business Name | CALIFORNIA FAMILY INSTITUTE
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 2900 BRISTOL ST STE C208
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City | COSTA MESA
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State | CA
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Zip | 92626-5946
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Country | US
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Telephone | 949-381-1510
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Fax |
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Provider Business Mailing Address
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Address Line | 2900 BRISTOL ST STE C208
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City | COSTA MESA
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State | CA
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Zip | 92626-5946
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Country | US
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Telephone | 949-381-1510
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | JONATHAN MIRANDA
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Credential |
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Telephone | 213-584-3688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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