Organization
COASTLINE PAIN CENTER
Active
Parent organization
COASTLINE PAIN CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
COASTLINE PAIN CENTER
Authorized official
PHONG TRAN M.D. (MEDICAL DIRECTOR)
(714) 531-7730
Entity
Organization
Contact information
Practice address
15606 BROOKHURST ST STE A, WESTMINSTER, CA 92683-7582
(714) 531-7730
Mailing address
2980 N BEVERLY GLEN CIR STE 101, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
02/23/2010
Last updated
03/01/2011
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