Sun Coast West Medical Clinic, Inc.
NPI #1760716278 in Upland, California
Provider Information
- NPI Number
- 1760716278
- Entity Type
- Organization
- Organization Name
- Sun Coast West Medical Clinic, Inc.
- Primary Specialty
- Specialist
- Enumeration Date
- Sep 30, 2009
- Last Updated
- Sep 30, 2009
Practice Location
- Address
- 1045 W FOOTHILL BLVD
- City
- Upland
- State
- California
- ZIP Code
- 91786-3731
- Phone
- (909) 985-7188
Authorized Official
- Name
- DR. LOUIS C. REDIX JR., M.D.
- Title
- OWNER
- Phone
- (909) 985-7188
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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