# WEST COAST PHYSIATRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821377540
- **Authorized official:** DR. GABRIEL RAYMOND D.O. (PRESIDENT & CEO)
- **Authorized official phone:** (424) 237-2349

## Contact information

- **Practice address:** 500 S SEPULVEDA BLVD STE 301, MANHATTAN BEACH, CA 90266-6976
- **Practice address phone:** (424) 237-2349
- **Practice address fax:** (310) 388-1358
- **Mailing address:** 500 S SEPULVEDA BLVD STE 301, MANHATTAN BEACH, CA 90266-6976
- **Mailing address phone:** (424) 237-2349
- **Mailing address fax:** (310) 388-1358

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 20A9891 | CA | Yes |

## Other

- **Enumeration date:** 08/11/2011
- **Last updated:** 12/31/2012