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Organization
SOUTH COAST GYNECOLOGIC ONCOLOGY, INC
Active
Organization
SOUTH COAST GYNECOLOGIC ONCOLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNMARIE CARLISLE (PRACTICE ADMINISTRATOR)
(858) 455-5524
Entity
Organization
Contact information
Practice address
9095 RIO SAN DIEGO DR STE 425, SAN DIEGO, CA 92108-1679
(858) 455-5524
(858) 587-9377
Mailing address
9095 RIO SAN DIEGO DR STE 425, SAN DIEGO, CA 92108-1679
(858) 455-5524
(858) 480-3910
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A65396
CA
174400000X
Specialist
G66287
CA
Other
Enumeration date
06/20/2006
Last updated
03/28/2025
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