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Organization

COAST SPINE AND SPORTS MEDICINE SURGERY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ASSAD MICHAEL MOHEIMANI MD (MEDICAL DIRECTOR)
(714) 285-0014
Entity
Organization

Contact information

Practice address
20321 IRVINE AVE STE F2, NEWPORT BEACH, CA 92660-0200
(714) 285-0014
(714) 285-0018
Mailing address
20321 IRVINE AVE STE F2, NEWPORT BEACH, CA 92660-0200
(714) 285-0014
(714) 285-0018

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
04/23/2021
Last updated
03/25/2026
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