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Organization
COAST TO COAST REFERRAL CENTER, INC.
Active
Organization
COAST TO COAST REFERRAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JOHN COHAN JR. BS (PROGRAM ADMINISTRATOR)
(949) 313-5250
Entity
Organization
Contact information
Practice address
1404 N PALM CANYON DR, PALM SPRINGS, CA 92262-4408
(760) 778-4876
Mailing address
1316 S COAST HWY, LAGUNA BEACH, CA 92651-3118
(949) 313-5250
(949) 313-5250
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
NULL
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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