CELEBRATING LIFE COMMUNITY HEALTH CENTER (NPI# 1386273100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386273100 |
| Entity Type | Organization |
| Organization Name | CELEBRATING LIFE COMMUNITY HEALTH CENTER |
| Practice Address |
27800 Medical Center Rd Ste 110 Mission Viejo CA 92691-6407 |
| Mailing Address |
54 Bedstraw Loop Ladera Ranch CA 92694-1300 |
| Practice Telephone | 9493643532 |
| Mailing Telephone | 9494336686 |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2020-05-15 |
| Authorized Official Name | MR. SERGEY SERGEYEV (CEO) |
| Authorized Official Telephone | 9494336686 |
| Authorized Official Credential | MPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 27800 Medical Center Rd Ste 202&204, Mission Viejo, CA 926916410 | 9492643532 |
| Street Address |
27800 MEDICAL CENTER RD STE 110 |
| City | MISSION VIEJO |
| State | CA |
| Zip Code | 92691-6407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750781357 | Alexa Romero | Social Worker | 27800 Medical Center Rd Ste 110, Mission Viejo, CA 92691-6407 | 2014-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748247 | Sonja Wood | Registered Nurse | 92691 Avenida Deseo, Mission Viejo, CA 92691 | 2020-04-09 |
| 1912488487 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 27551 Puerta Real, Mission Viejo, CA 92691 | 2018-08-23 |
| 1518457704 | Leon Baginski Md Inc | Obstetrics & Gynecology | 26800 Crown Valley Pkwy Ste 560, Mission Viejo, CA 92691 | 2018-05-14 |
| 1215426762 | Gail G Warner | Marriage & Family Therapist | 26050 Acero, Suite 301, Mission Viejo, CA 92691 | 2018-05-09 |
| 1508354176 | Tania Choudhary | Student in an Organized Health Care Education/Training Program | 23595 Rangoon St, Mission Viejo, CA 92691 | 2018-04-28 |
| 1710486519 | Aubriana Denise Gray | Counselor | 25802 Pacifica Ave, Mission Viejo, CA 92691 | 2018-02-07 |
| 1487162707 | Alberto Israel Galicia | Case Manager/Care Coordinator | 27261 Las Ramblas, Suite 220, Mission Viejo, CA 92691 | 2018-01-22 |
| 1629595244 | Elisabeth A Lischer | Counselor | 26137 La Paz Road, Suite 230, Mission Viejo, CA 92691 | 2017-08-24 |
| 1639694227 | Dr. Horiyat, A Dental Corporation | Dentist | 27652 Crown Valley Parkway, Mission Viejo, CA 92691 | 2017-08-04 |
| 1255851689 | Jackelin Liseth Martinez | Counselor | 25402 Pacifica Avenue, Mission Viejo, CA 92691 | 2017-06-27 |
| Find all providers in zip 92691 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790806321 | Obria Medical Clinics of Southern California, Inc. | Clinic/Center | 28201 Marguerite Pkwy, Suite 13, Mission Viejo, CA 92692-3719 | 2007-04-02 |
| 1659606333 | Careways Children's Foundation | Clinic/Center | 25982 Pala, Suite 120, Mission Viejo, CA 92691-6719 | 2009-10-13 |
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| Find all providers with the same taxonomy | ||||
| City | MISSION VIEJO |
| Zip Code | 92691 |
Please comment or provide details below to improve the information on CELEBRATING LIFE COMMUNITY HEALTH CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.