South Coast Spine and Wellness INC
NPI #1568736304 in Capistrano Beach, California
Provider Information
- NPI Number
- 1568736304
- Entity Type
- Organization
- Organization Name
- South Coast Spine and Wellness INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 24, 2012
- Last Updated
- Feb 28, 2012
Practice Location
- Address
- 26841 CALLE HERMOSA
- Address 2
- SUITE A
- City
- Capistrano Beach
- State
- California
- ZIP Code
- 92624-1674
- Phone
- (949) 488-9600
Authorized Official
- Name
- DR. VICTORIA CUPIC, M.D.
- Title
- VICE PRESIDENT
- Phone
- (949) 488-9600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor - Sports Physician — Sports Physician |
| Family Medicine |
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