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Organization
PACIFIC COAST HYDRATION INC
Active
Organization
PACIFIC COAST HYDRATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALGENON M PARSON MD (PRESIDENT)
(949) 572-7375
Entity
Organization
Contact information
Practice address
20951 BROOKHURST ST STE 107, HUNTINGTON BEACH, CA 92646-6648
(949) 469-0675
Mailing address
110 BELLATRIX, IRVINE, CA 92618-1727
(404) 668-2292
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207Q00000X
Family Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
—
—
Other
Enumeration date
11/06/2020
Last updated
03/05/2026
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