Phs San Clemente, Inc.

NPI #1972754448 in San Clemente, California

Provider Information

NPI Number: 1972754448
Entity Type: Organization
Organization Name: Phs San Clemente, Inc.
Primary Specialty: Audiologist
Enumeration Date: Oct 2, 2008
Last Updated: Oct 2, 2008

Practice Location

Address: 675 CAMINO DE LOS MARES
Address 2: SUITE 420
City: San Clemente
State: California
ZIP Code: 92673-2835
Phone: (949) 496-2307

Authorized Official

Name: DR. JOHN RAYMOND COLEMAN, AU.D.
Title: PRESIDENT
Phone: (949) 364-4361

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary

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