Organization
NETWAVE NEURODIAGNOSTICS AND PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ALLEN COBURN M.D. (OWNER)
(310) 856-2685
Entity
Organization
Contact information
Practice address
14507 HAWTHORNE BLVD, LAWNDALE, CA 90260-1520
(310) 856-2685
Mailing address
14507 HAWTHORNE BLVD, LAWNDALE, CA 90260-1520
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
06/07/2007
Last updated
08/22/2020
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