# SOUTH COAST MEDICAL CENTER FOR NEW MEDICINE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTH COAST MEDICAL CENTER FOR NEW MEDICINE, INC.
- **Other names:** Center for New Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003284258
- **Legal business name:** SOUTH COAST MEDICAL CENTER FOR NEW MEDICINE, INC.
- **Authorized official:** DR. LEIGH CONNEALY M.D. (OWNER)
- **Authorized official phone:** (949) 680-1880

## Contact information

- **Practice address:** 6 HUGHES STE 100, IRVINE, CA 92618-2060
- **Practice address phone:** (949) 680-1880
- **Mailing address:** 2980 N BEVERLY GLEN CIR STE 301, LOS ANGELES, CA 90077-1735
- **Mailing address phone:** (310) 943-4180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | G57433 | CA | Yes |

## Other

- **Enumeration date:** 09/04/2015
- **Last updated:** 09/04/2015