Organization
COAST TO COAST REFERRAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JOHN COHAN JR. BS (PROGRAM ADMINISTRATOR)
(949) 313-5250
Entity
Organization
Contact information
Practice address
1404 N PALM CANYON DR, PALM SPRINGS, CA 92262-4408
(760) 778-4876
Mailing address
1316 S COAST HWY, LAGUNA BEACH, CA 92651-3118
(949) 313-5250
(949) 313-5250
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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