OrganizationActive
Eclc Residence, Inc.
NPI 1982952842 · Custodial Care Facility · Costa Mesa, CA
Provider details
- NPI number
- 1982952842
- Entity type
- Organization
- Primary specialty
- Custodial Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Lapurisima Chang, President(949) 642-2906
- License
- 306002093 (CA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
2279 Avalon St.
Costa Mesa, CA 92626-6446
Phone: (949) 642-2906
Fax: (949) 642-0622
Approximate (ZIP-level) locationGet directions
Mailing address
2279 Avalon St.
Costa Mesa, CA 92626-6446
Registry dates
- Enumerated
- 2012-08-27
- Last updated
- 2012-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.