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Organization
SOUTH COAST PT INC
Active
Organization
SOUTH COAST PT INC
Active
Other names
South coast PT inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SETAREH SALEHI (OWNER)
(949) 855-3926
Entity
Organization
Contact information
Practice address
23221 S POINTE DR STE 101, LAGUNA HILLS, CA 92653-1400
(949) 855-3926
(949) 855-3921
Mailing address
23221 S POINTE DR STE 101, LAGUNA HILLS, CA 92653-1400
(949) 855-3926
(949) 855-3921
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
PT18387
CA
Other
Enumeration date
01/19/2011
Last updated
01/19/2011
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