Coastline Medical Clinic INC

NPI #1013218007 in Westminster, California

Provider Information

NPI Number: 1013218007
Entity Type: Organization
Organization Name: Coastline Medical Clinic INC
Primary Specialty: Pain Medicine - Pain Medicine
Enumeration Date: Nov 8, 2010
Last Updated: Dec 29, 2014

Practice Location

Address: 15606 BROOKHURST ST
Address 2: STE A
City: Westminster
State: California
ZIP Code: 92683-7581
Phone: (714) 531-7730

Authorized Official

Name: DR. PHONG H TRAN, MD
Title: PRESIDENT
Phone: (714) 531-7730

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pain Medicine - Pain Medicine — Pain Medicine	208VP0000X	Primary

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