Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Breakwater Medical Group LLC

Organization Clinical Medical Laboratory · NPI 1497019111

Breakwater Medical Group LLC is a Clinical Medical Laboratory in Costa Mesa, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

357 Victoria St Ste 2
Costa Mesa, CA 92627-1931
Phone: (949) 903-1053
Fax: (877) 820-8959
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X · Licence 05D2040895 (CA)

Record details

NPI number1497019111
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matt Luchini — Accounts Manager · (928) 533-4220
NPI enumeratedJune 27, 2012
Last updated in NPPESJune 27, 2012
Mailing address357 Victoria St, Suite 2, Costa Mesa, CA 92627-1931

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