# SOUTH COAST MEDICAL CENTER FOR NEW MEDICINE,.INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Center For New Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891939351
- **Authorized official:** DR. LEIGH ERIN CONNEALY (PRESIDENT)
- **Authorized official phone:** (949) 680-1880

## Contact information

- **Practice address:** 6 HUGHES, SUITE 100, IRVINE, CA 92618-2059
- **Practice address phone:** (949) 680-1880
- **Practice address fax:** (949) 680-1919
- **Mailing address:** 6 HUGHES, SUITE 100, IRVINE, CA 92618-2059
- **Mailing address phone:** (949) 680-1880
- **Mailing address fax:** (949) 680-1919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 20A11028 | CA | — |
| 208D00000X | General Practice Physician | G57433 | CA | Yes |
| 247100000X | Radiologic Technologist | RHF75256 | CA | — |

## Other

- **Enumeration date:** 04/28/2009
- **Last updated:** 08/24/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | FA325A | MEDICARE PTAN | CA |