Organization
PACIFIC COAST PHYSICIANS GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN YAKER (VICE PRESIDENT)
(818) 986-8800
Entity
Organization
Contact information
Practice address
15720 VENTURA BLVD STE 400, ENCINO, CA 91436-2911
(818) 986-8800
Mailing address
15720 VENTURA BLVD STE 400, ENCINO, CA 91436-2911
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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