Organization
SOUTH COAST MEDICAL CENTER FOR NEW MEDICINE,.INC
Active
Other names
Center For New Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEIGH ERIN CONNEALY (PRESIDENT)
(949) 680-1880
Entity
Organization
Contact information
Practice address
6 HUGHES, SUITE 100, IRVINE, CA 92618-2059
(949) 680-1880
(949) 680-1919
Mailing address
6 HUGHES, SUITE 100, IRVINE, CA 92618-2059
(949) 680-1880
(949) 680-1919
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
20A11028
CA
208D00000X
General Practice Physician
Primary
G57433
CA
247100000X
Radiologic Technologist
RHF75256
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FA325A
MEDICARE PTAN
CA
Enumeration date
04/28/2009
Last updated
08/24/2011
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