Organization
COASTAL SPINE & ORTHOPEDIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONNY RUBIN (M,D./MEDICAL DIRECTOR)
(949) 933-7012
Entity
Organization
Contact information
Practice address
3420 BRISTOL ST STE 700, COSTA MESA, CA 92626-7137
(949) 933-7012
(949) 387-3380
Mailing address
3420 BRISTOL ST STE 700, COSTA MESA, CA 92626-7137
(949) 933-7012
(949) 387-3380
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A76500
CA
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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