Coastline Medical Clinic INC

NPI #1093089286 in Westminster, California

Provider Information

NPI Number
1093089286
Entity Type
Organization
Organization Name
Coastline Medical Clinic INC
Subpart
Yes (part of a larger organization)
Parent Organization
COASTLINE MEDICAL CLINIC INC
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Mar 6, 2012
Last Updated
Mar 6, 2012

Practice Location

Address
15606 BROOKHURST ST STE A
ZIP Code
92683-7582
Phone
(714) 531-7730

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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