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Organization
WEST COAST PHYSICAL THERAPY, INC
Active
Organization
WEST COAST PHYSICAL THERAPY, INC
Active
Other names
WEST COAST PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE LASSON (VICE PRESIDENT)
(408) 570-0510
Entity
Organization
Contact information
Practice address
27882 FORBES RD, #110, LAGUNA NIGUEL, CA 92677-1267
(949) 364-2955
(949) 364-1799
Mailing address
5962 LA PLACE CT, STE 170, CARLSBAD, CA 92008-8807
(800) 929-4776
(760) 931-8370
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 24601
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33869
FIRST HEALTH
CA
01
—
ZZZ08070Z
BLUE SHIELD
CA
Enumeration date
05/18/2006
Last updated
09/27/2007
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