Organization
COASTAL CENTER FOR OBESITY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA GLADSTONE (MARKETING MANAGER)
(714) 997-4448
Entity
Organization
Contact information
Practice address
2617 E CHAPMAN AVE, 307, ORANGE, CA 92869-3225
(714) 997-4448
(714) 997-4449
Mailing address
2617 E CHAPMAN AVE, SUITE 307, ORANGE, CA 92869-3226
(714) 997-4448
(714) 997-4449
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
04/29/2013
Last updated
04/29/2013
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