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Organization

COAST CITY MEDICAL GROUP INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAMUEL CHAN M.D. (OWNER)
(562) 595-6396
Entity
Organization

Contact information

Practice address
3736 ATLANTIC AVE # 3, LONG BEACH, CA 90807-3409
(562) 595-6396
(562) 595-6693
Mailing address
3736 ATLANTIC AVE # 3, LONG BEACH, CA 90807-3409

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G26972
CA

Other

Enumeration date
02/20/2007
Last updated
08/22/2020
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