Organization
CATALINA COAST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN HICKS (MEMBER)
(507) 250-0570
Entity
Organization
Contact information
Practice address
901 DOVER DR STE 235, NEWPORT BEACH, CA 92660-5515
(507) 250-0570
Mailing address
901 DOVER DR STE 235, NEWPORT BEACH, CA 92660-5515
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
CA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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