Organization
COASTAL CHILDREN'S SPECIALTY GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TORIN J. CUNNINGHAM M.D. (PRESIDENT)
(562) 933-8750
Entity
Organization
Contact information
Practice address
2850 LONG BEACH BLVD, SUITE 177, LONG BEACH, CA 90806-1596
(562) 933-8750
(562) 933-8014
Mailing address
2850 LONG BEACH BLVD, SUITE 177, LONG BEACH, CA 90806-1596
(562) 933-8750
(562) 933-8014
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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