Organization
WEST COAST MULTI MEDICAL SPECIALTY CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMABLE R. AGUILUZ JR. M.D. (PRESIDENT/CEO)
(562) 822-3776
Entity
Organization
Contact information
Practice address
13071 BROOKHURST ST STE 170, GARDEN GROVE, CA 92843-1061
(562) 860-2442
Mailing address
13071 BROOKHURST ST STE 170, GARDEN GROVE, CA 92843-1061
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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