Organization
COAST TO COAST MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLYSON JEAN BERKEY MD (MEDICAL DIRECTOR)
(818) 836-2475
Entity
Organization
Contact information
Practice address
620 S GLENDORA AVE STE B, GLENDORA, CA 91740-6815
(626) 335-4223
(877) 599-0029
Mailing address
620 S GLENDORA AVE STE B, GLENDORA, CA 91740-6815
(626) 335-4223
(877) 599-0029
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G077666
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G077666
—
CA
Enumeration date
06/13/2017
Last updated
07/21/2022
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