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Organization

COASTAL P&O LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHAD MARQUIS CPO (CERTIFIED PROSTHETIST/ORTHOTIST)
(714) 614-5981
Entity
Organization

Contact information

Practice address
26300 LA ALAMEDA STE 120, MISSION VIEJO, CA 92691-6380
(714) 614-5981
Mailing address
18 BUSHWOOD CIR, LADERA RANCH, CA 92694-0513
(714) 614-5981

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary

Other

Enumeration date
08/10/2021
Last updated
08/10/2021
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