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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up