Organization
COAST LINE INFUSION, INC.
Active
Organization
COAST LINE INFUSION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARRY T TINDELL R.N. (PRESIDENT / CEO)
(818) 652-8000
Entity
Organization
Contact information
Practice address
300 N 3RD ST # 226, BURBANK, CA 91502-1107
(818) 652-8000
(818) 302-2288
Mailing address
300 N 3RD ST # 226, BURBANK, CA 91502-1107
(818) 652-8000
(818) 302-2288
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
Other
Enumeration date
12/06/2011
Last updated
09/04/2024
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