Organization
DG COAST MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER GOSSETT (DIRECTOR)
(714) 912-6714
Entity
Organization
Contact information
Practice address
17312 NORCON CIR, HUNTINGTON BEACH, CA 92649-4613
(714) 912-6714
Mailing address
9121 ATLANTA AVE STE 723, HUNTINGTON BEACH, CA 92646-6309
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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