Coast Physical Medicine Inc

NPI 1154720373 - Anesthesiology - 207L00000X

NPI Details
NPI 1154720373
Enumeration Date 08/14/2014
Last Updated 09/05/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name MARC MARC
Position PRESIDENT
Phone (714) 963-0955
Fax
Practice Location
17931 EUCLID ST
FOUNTAIN VALLEY CA, 92708-5409, US
Phone (714) 963-0955
Fax
Business Location
17931 EUCLID ST
FOUNTAIN VALLEY CA, 92708-5409, US
Phone (714) 963-0955
Fax
Toxanomy
Taxonomy Code 207L00000X
License State
License Number
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According to our database, Coast Physical Medicine Inc NPI is 1154720373, taxonomy code is 207L00000X Coast Physical Medicine Inc physically located at 17931 Euclid St, Fountain Valley CA, 92708-5409. NPI Number 1033115704 has the healthcare provider type.

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1154720373 NPI number is provided on an as is basis without warranty of any kind. 1154720373 is maintained by the National Plan & Provider Enumeration System. The contents of Coast Physical Medicine Inc are for informational purposes only.