# WEST COAST MULTI MEDICAL SPECIALTY CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144789660
- **Authorized official:** MR. AMABLE R. AGUILUZ JR. M.D. (PRESIDENT/CEO)
- **Authorized official phone:** (562) 822-3776

## Contact information

- **Practice address:** 13071 BROOKHURST ST STE 170, GARDEN GROVE, CA 92843-1061
- **Practice address phone:** (562) 860-2442
- **Mailing address:** 13071 BROOKHURST ST STE 170, GARDEN GROVE, CA 92843-1061

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 03/14/2019
- **Last updated:** 03/14/2019