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Organization
PACIFIC COAST MENTAL HEALTH
Active
Organization
PACIFIC COAST MENTAL HEALTH
Active
Other names
PCMH
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE VERNON TUCKER M.D. (CEO/DIRECTOR)
(800) 678-3127
Entity
Organization
Contact information
Practice address
4 DORADO PL, ROLLING HILLS ESTATES, CA 90274-4213
(800) 678-3127
(800) 929-8557
Mailing address
4 DORADO PL, ROLLING HILLS ESTATES, CA 90274-4213
(800) 678-3127
(800) 929-8557
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
A84067
CA
2084H0002X
Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
A84067
CA
2084P0800X
Psychiatry Physician
Primary
A84067
CA
2084P0805X
Geriatric Psychiatry Physician
A84067
CA
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
A84067
CA
Other
Enumeration date
05/19/2009
Last updated
10/28/2010
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