Organization
WEST COAST MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTAL DAWN SPELLER RICCI MD (PRESIDENT)
(310) 923-3030
Entity
Organization
Contact information
Practice address
1703 N AVALON BLVD, WILMINGTON, CA 90744-1432
(310) 923-3030
Mailing address
230 N MARYLAND AVE STE 110, GLENDALE, CA 91206-4283
(310) 923-3030
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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