Dg Coast Medical INC
Physical Medicine & Rehabilitation in Huntington Beach, CA. Organization (NPI-2).
NPI number1366128050
StatusActive
Last updated in NPPESJun 26, 2023
Details
- NPI
- 1366128050
- Entity type
- Organization (NPI-2)
- Legal business name
- Dg Coast Medical INC
- Organization subpart
- No
- Enumeration date
- Jun 26, 2023
- Certification date
- Jun 26, 2023
- Last updated
- Jun 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | – | – | Yes |
Practice location
17312 Norcon CirHuntington Beach, CA 92649-4613
Phone 714-912-6714
Mailing address
9121 Atlanta Ave Ste 723Huntington Beach, CA 92646-6309
Authorized official
Tyler Gossett
Director
7149126714
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