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Organization
WEST COAST MULTI MEDICAL SPECIALTY CLINIC INC
Active
Organization
WEST COAST MULTI MEDICAL SPECIALTY CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMABLE R. AGUILUZ JR. M.D. (PRESIDENT/CEO)
(562) 822-3776
Entity
Organization
Contact information
Practice address
13071 BROOKHURST ST STE 170, GARDEN GROVE, CA 92843-1061
(562) 860-2442
Mailing address
13071 BROOKHURST ST STE 170, GARDEN GROVE, CA 92843-1061
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
NULL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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