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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