Organization
GOLD COAST ORTHOPEDIC & SPINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A PETERSEN M.D. (PRESIDENT)
(727) 724-3985
Entity
Organization
Contact information
Practice address
361 HOSPITAL RD, SUITE 527, NEWPORT BEACH, CA 92663-3522
(727) 724-3985
Mailing address
361 HOSPITAL RD, SUITE 527, NEWPORT BEACH, CA 92663-3522
(727) 724-3985
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G130506
CA
Other
Enumeration date
06/06/2014
Last updated
06/06/2014
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