The Open Table

LBN: The Open Table
The Open Table is an health care organization with primary practice located at 151 Kalmus Dr. Bldg C Suite 100, Costa Mesa CA 92626. The organization recently has 7 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Agencies / Voluntary or Charitable, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Corporate Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. The Open Table can be contacted via phone (949) 274-9627, or through Heim, Matthew via phone (949) 274-9627.

Contact Information

Primary practice address
151 Kalmus Dr. Bldg C Suite 100 Costa Mesa CA 92626
Phone: (949) 274-9627
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Heim, Matthew M.A., J.D.
Phone: (949) 274-9627

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Agencies / Voluntary or Charitable 251V00000X
Ambulatory Health Care Facilities / Community Health 261QC1500X
Ambulatory Health Care Facilities / Corporate Health 261QC1800X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1396383022
LBN Legal business name The Open Table
DBA Doing business as
Authorized official Heim, Matthew M.A., J.D.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2019
Last updated Dec 12th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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