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Organization

COASTLINE PAIN CENTER

Active
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Organization

COASTLINE PAIN CENTER

Active
Parent organization
COASTLINE PAIN CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
COASTLINE PAIN CENTER
Authorized official
PHONG TRAN M.D. (MEDICAL DIRECTOR)
(714) 531-7730
Entity
Organization

Contact information

Practice address
15606 BROOKHURST ST STE A, WESTMINSTER, CA 92683-7582
(714) 531-7730
Mailing address
2980 N BEVERLY GLEN CIR STE 101, LOS ANGELES, CA 90077-1726
(310) 474-9809

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
NULL

Other

Enumeration date
02/23/2010
Last updated
03/01/2011
About Stedi
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