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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BREAKWATER MEDICAL GROUP LLC

Active Organization

BREAKWATER MEDICAL GROUP LLC is a Clinical Medical Laboratory organization located in COSTA MESA, California. NPI 1497019111 is currently active in the NPPES registry. Verify at CMS.

Clinical Medical Laboratory · COSTA MESA, CA

Registration Details

NPI Number
1497019111
Provider Type
Organization
NPI Issued
Jun 27, 2012 (14.173432631656 yrs)
Last Updated
Jun 27, 2012
License
05D2040895 (CA)

Practice Information

Address
357 VICTORIA ST
SUITE 2
COSTA MESA, CA, 926271931
Browse CA providers · Browse ZIP 92627
Phone
9499031053
Fax
8778208959
Primary Specialty
Clinical Medical Laboratory
291U00000X

Other Clinical Medical Laboratory Organizations in COSTA MESA, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.