Organization
CALIFORNIA COAST CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NATALIA BAKOULINA (PRESIDENT)
(949) 395-0795
Entity
Organization
Contact information
Practice address
999 N TUSTIN AVE, SUITE 17, SANTA ANA, CA 92705-3528
(949) 395-0795
(949) 497-2020
Mailing address
44 LESSAY, NEWPORT BEACH, CA 92657-1060
(949) 395-0795
(949) 497-2020
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
07/31/2006
Last updated
08/22/2020
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