Organization
SOUTH COAST MEDICAL CENTER
Active
Parent organization
SOUTH COAST MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH COAST MEDICAL CENTER
Authorized official
LARRY PUGH (CHIEF FINANCIAL OFFICER)
(949) 499-1311
Entity
Organization
Contact information
Practice address
31872 COAST HWY, LAGUNA BEACH, CA 92651-6773
(949) 499-1311
Mailing address
31872 COAST HWY, LAGUNA BEACH, CA 92651-6773
(949) 499-1311
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSM30193F
—
CA
Enumeration date
12/15/2005
Last updated
01/27/2009
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