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Organization

COASTLINE MEDICAL CLINIC INC

Active
Parent organization
COASTLINE MEDICAL CLINIC INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
COASTLINE MEDICAL CLINIC INC
Authorized official
DR. PHONG H. TRAN MD (PRESIDENT)
(714) 531-7730
Entity
Organization

Contact information

Practice address
15606 BROOKHURST ST STE A, WESTMINSTER, CA 92683-7582
(714) 531-7730
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary

Other

Enumeration date
03/06/2012
Last updated
03/06/2012
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