Organization
COASTAL SPINE AND ORTHOPEDICS SPECIALIST, INC
Active
Organization
COASTAL SPINE AND ORTHOPEDICS SPECIALIST, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONNY RUBIN MD (PRESIDENT)
(949) 933-7012
Entity
Organization
Contact information
Practice address
455 OLD NEWPORT BLVD, 101, NEWPORT BEACH, CA 92663-4241
(949) 933-7012
(949) 387-3380
Mailing address
455 OLD NEWPORT BLVD, 101, NEWPORT BEACH, CA 92663-4241
(949) 933-7012
(949) 387-3380
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
10/28/2014
Last updated
06/28/2022
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