Organization
SOUTH COAST PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB WOLSZTEJN M.D. (PRESIDENT)
(714) 991-5141
Entity
Organization
Contact information
Practice address
1720 W BALL RD, STE.#1, ANAHEIM, CA 92804-5500
(714) 991-5141
(714) 991-5144
Mailing address
1720 W BALL RD, STE.#1, ANAHEIM, CA 92804-5500
(714) 991-5141
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
11/22/2006
Last updated
12/08/2011
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