Organization
WEST COAST SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANA MARIAM KHAN D.O (DIRECTOR)
(760) 641-7217
Entity
Organization
Contact information
Practice address
36915 COOK STREET, SUITE 103 B, PALM DESERT, CA 92211
(760) 340-1003
(760) 340-4844
Mailing address
36915 COOK STREET, SUITE 103 B, PALM DESERT, CA 92211
(760) 340-1003
(760) 340-4844
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G85632
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
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Other
Enumeration date
11/22/2016
Last updated
11/23/2016
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