Organization
SOUTH COAST MEDICAL & THERAPY, INC.
Active
Organization
SOUTH COAST MEDICAL & THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN I-CHUN WANG M.D. (PRESIDENT)
(818) 241-9600
Entity
Organization
Contact information
Practice address
138 N BRAND BLVD STE 200, GLENDALE, CA 91203-4617
(818) 241-9600
(818) 941-9601
Mailing address
138 N BRAND BLVD STE 200, GLENDALE, CA 91203-4617
(818) 241-9600
(818) 941-9601
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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