Pacific Coast Medicine, A Professional Corporation
Clinic/Center, Primary Care in Newport Beach, CA. Organization (NPI-2).
NPI number1255620522
StatusActive
Last updated in NPPESApr 17, 2015
Details
- NPI
- 1255620522
- Entity type
- Organization (NPI-2)
- Legal business name
- Pacific Coast Medicine, A Professional Corporation
- Organization subpart
- No
- Enumeration date
- Apr 7, 2011
- Last updated
- Apr 17, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | A101725 | CA | Yes |
Practice location
361 Hospital Rd Ste 227Newport Beach, CA 92663-3523
Phone 949-436-7294 · Fax 949-612-1690
Mailing address
3943 Irvine Blvd Ste 614Irvine, CA 92602-2400
Phone 949-436-7294 · Fax 949-612-1690
Authorized official
Mariam Razi
President
9492739247
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