# WEST COAST SURGERY INC

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

## Provider details

- **NPI number:** 1992248918
- **Authorized official:** SANA MARIAM KHAN D.O (DIRECTOR)
- **Authorized official phone:** (760) 641-7217

## Contact information

- **Practice address:** 36915 COOK STREET, SUITE 103 B, PALM DESERT, CA 92211
- **Practice address phone:** (760) 340-1003
- **Practice address fax:** (760) 340-4844
- **Mailing address:** 36915 COOK STREET, SUITE 103 B, PALM DESERT, CA 92211
- **Mailing address phone:** (760) 340-1003
- **Mailing address fax:** (760) 340-4844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G85632 | CA | Yes |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | NULL | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | — | — |

## Other

- **Enumeration date:** 11/22/2016
- **Last updated:** 11/23/2016