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Organization
WEST COAST PHYSIATRY
Active
Organization
WEST COAST PHYSIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABRIEL RAYMOND D.O. (PRESIDENT & CEO)
(424) 237-2349
Entity
Organization
Contact information
Practice address
500 S SEPULVEDA BLVD STE 301, MANHATTAN BEACH, CA 90266-6976
(424) 237-2349
(310) 388-1358
Mailing address
500 S SEPULVEDA BLVD STE 301, MANHATTAN BEACH, CA 90266-6976
(424) 237-2349
(310) 388-1358
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
20A9891
CA
Other
Enumeration date
08/11/2011
Last updated
12/31/2012
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