Organization
COASTAL PHYSICIANS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS G MAGDELENO MD (CEO)
(310) 832-4221
Entity
Organization
Contact information
Practice address
3500 W LOMITA BLVD, NUMBER 203, TORRANCE, CA 90505
(310) 534-8164
(310) 534-4267
Mailing address
3500 W LOMITA BLVD, NUMBER 203, TORRANCE, CA 90505
(310) 534-8164
(310) 534-4267
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/01/2006
Last updated
08/30/2012
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