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General NPI Number Information
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NPI Number | 1922899681
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Entity Type | Organization
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Legal Business Name | COSTA MESA OPERATIONS LLC
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Dates
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Enumeration Date | 05/13/2025
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 2619 ORANGE AVE
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City | COSTA MESA
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State | CA
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Zip | 92627-4630
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Country | US
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Telephone | 949-514-8014
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Fax |
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Provider Business Mailing Address
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Address Line | 2619 ORANGE AVE
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City | COSTA MESA
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State | CA
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Zip | 92627-4630
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Country | US
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Telephone | 949-514-8014
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF RCM
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Name | ISRAELA YAP
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Credential |
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Telephone | 818-304-3342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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