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Organization

COASTAL REGENERATIVE ORTHOPEDICS & WELLNESS CENTER INC.

Active
Other names
Coastal Regenerative Orthopedics & Wellness Center
Organization subpart
No

Provider details

NPI number
Authorized official
VICTORIA MARX (BILLER)
(714) 308-4995
Entity
Organization

Contact information

Practice address
11772 SORRENTO VALLEY RD STE 100, SAN DIEGO, CA 92121-1016
(858) 221-4229
(858) 345-4828
Mailing address
11772 SORRENTO VALLEY RD STE 100, SAN DIEGO, CA 92121-1016
(858) 221-4229
(858) 345-4828

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary

Other

Enumeration date
02/10/2020
Last updated
02/11/2020
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