Organization
SOUTH COAST MEDICAL CENTER FOR NEW MEDICINE, INC.
Active
Parent organization
SOUTH COAST MEDICAL CENTER FOR NEW MEDICINE, INC.
Other names
Center for New Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH COAST MEDICAL CENTER FOR NEW MEDICINE, INC.
Authorized official
DR. LEIGH CONNEALY M.D. (OWNER)
(949) 680-1880
Entity
Organization
Contact information
Practice address
6 HUGHES STE 100, IRVINE, CA 92618-2060
(949) 680-1880
Mailing address
2980 N BEVERLY GLEN CIR STE 301, LOS ANGELES, CA 90077-1735
(310) 943-4180
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
G57433
CA
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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