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Organization
PACIFIC COAST MEDICAL CLINIC
Active
Organization
PACIFIC COAST MEDICAL CLINIC
Active
Other names
PCMC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AFSOUN SUE PANAHI (PRESIDENT)
(408) 438-2248
Entity
Organization
Contact information
Practice address
3067 MOORPARK AVE, SUITE 100, SAN JOSE, CA 95128
(408) 438-2248
(408) 244-7248
Mailing address
3067 MOORPARK AVE, SUITE 100, SAN JOSE, CA 95128
(408) 438-2248
(408) 244-7248
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
32345
CA
175F00000X
Naturopath
ND-588
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
20A9504
CA
Other
Enumeration date
03/17/2015
Last updated
05/01/2015
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