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 H. TRAN M.D. (OWNER)
(714) 531-7730
Entity
Organization
Contact information
Practice address
15606 BROOKHURST ST STE A, WESTMINSTER, CA 92683-7582
(714) 531-7730
(714) 531-7793
Mailing address
PO BOX 9, GARDEN GROVE, CA 92842-0009
(714) 531-7730
(714) 531-7793
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G74233
CA
Other
Enumeration date
12/07/2007
Last updated
03/24/2008
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