Organization
COAST2COAST DX
Active
Organization
COAST2COAST DX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH SCHWARTZ (CFO)
(714) 200-2232
Entity
Organization
Contact information
Practice address
600 N TUSTIN AVE, SUITE 110, SANTA ANA, CA 92705-3736
(714) 200-2232
Mailing address
600 N TUSTIN AVE, SUITE 110, SANTA ANA, CA 92705-3736
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1111
N/A
—
Enumeration date
01/15/2013
Last updated
01/15/2013
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