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Organization
SUN COAST WEST MEDICAL CLINIC, INC.
Active
Organization
SUN COAST WEST MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS C. REDIX JR. M.D. (OWNER)
(909) 985-7188
Entity
Organization
Contact information
Practice address
1045 W FOOTHILL BLVD, UPLAND, CA 91786-3731
(909) 985-7188
(909) 373-2007
Mailing address
1045 W FOOTHILL BLVD, UPLAND, CA 91786-3731
(909) 985-7188
(909) 373-2007
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G44785
CA
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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