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Organization
COAST SPINE AND SPORTS MEDICINE SURGERY CENTER LLC
Active
Organization
COAST SPINE AND SPORTS MEDICINE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASSAD MICHAEL MOHEIMANI MD (MEDICAL DIRECTOR)
(714) 285-0014
Entity
Organization
Contact information
Practice address
20321 IRVINE AVE STE F2, NEWPORT BEACH, CA 92660-0200
(714) 285-0014
(714) 285-0018
Mailing address
20321 IRVINE AVE STE F2, NEWPORT BEACH, CA 92660-0200
(714) 285-0014
(714) 285-0018
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/23/2021
Last updated
03/25/2026
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