West Coast Primary Care Medical Group
NPI #1356536452 in Garden Grove, California
Provider Information
- NPI Number
- 1356536452
- Entity Type
- Organization
- Organization Name
- West Coast Primary Care Medical Group
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Sep 11, 2007
- Last Updated
- Sep 14, 2007
Practice Location
- Address
- 12665 GARDEN GROVE BLVD
- Address 2
- SUITE 301
- City
- Garden Grove
- State
- California
- ZIP Code
- 92843-1901
- Phone
- (714) 530-7373
Authorized Official
- Name
- DR. DOUGLAS G CLARK
- Title
- OWNER/PRESIDENT
- Phone
- (714) 530-7373
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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