| South Coast Medical Center | |
|
31872 Coast Hwy Laguna Beach CA 92651-6773 | |
| (949) 499-1311 | |
| Not Available |
| Full Name | South Coast Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 31872 Coast Hwy, Laguna Beach, California |
| Authorized Official Name and Position | Larry Pugh (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9494991311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Coast Medical Center 31872 Coast Hwy Laguna Beach CA 92651-6773 Ph: (949) 499-1311 | South Coast Medical Center 31872 Coast Hwy Laguna Beach CA 92651-6773 Ph: (949) 499-1311 |
| NPI Number | 1336125970 |
|---|---|
| Provider Enumeration Date | 12/15/2005 |
| Last Update Date | 01/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336125970 | NPI | - | NPPES |
| HSM30193F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (California) | Primary |
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