OrganizationMd24 La, Inc.Family MedicineAllopathic & Osteopathic PhysiciansPractice Address600 Anton Blvd Ste 1100, Costa Mesa, CA 92626-7100(623) 374-7774(626) 893-9730PECOS EnrollmentBased on the most recent information from CMS, provider Md24 La, Inc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 4:18 PM.Profile DetailsProvider ID1265919500Provider TypeOrganizationFull NameMd24 La, Inc.SubpartNoEnumeration Date7/19/2018Last Updated3/11/2021Contact InformationPractice LocationPractice Address600 Anton Blvd Ste 1100, Costa Mesa, CA 92626-7100Phone(623) 374-7774FaxUnlisted FaxMailing LocationMailing Address600 Anton Blvd Ste 1100, Costa Mesa, CA 92626-7100Phone(626) 893-9730FaxUnlisted FaxAuthorized OfficialNameNguyen, Linh C (Ceo)Phone(626) 893-9730Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer