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Organization
WEST COAST MEDICAL CLINIC INC
Active
Organization
WEST COAST MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTAL DAWN SPELLER RICCI MD (PRESIDENT)
(310) 923-3030
Entity
Organization
Contact information
Practice address
1703 N AVALON BLVD, WILMINGTON, CA 90744-1432
(310) 923-3030
Mailing address
230 N MARYLAND AVE STE 110, GLENDALE, CA 91206-4283
(310) 923-3030
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
NULL
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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