| Coast To Coast Medical Inc | |
|
620 S Glendora Ave Ste B Glendora CA 91740-6815 | |
| (626) 335-4223 | |
| (877) 599-0029 |
| Full Name | Coast To Coast Medical Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 620 S Glendora Ave Ste B, Glendora, California |
| Authorized Official Name and Position | Allyson Jean Berkey (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8188362475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coast To Coast Medical Inc 620 S Glendora Ave Ste B Glendora CA 91740-6815 Ph: (626) 335-4223 | Coast To Coast Medical Inc 620 S Glendora Ave Ste B Glendora CA 91740-6815 Ph: (626) 335-4223 |
| NPI Number | 1568992493 |
|---|---|
| Provider Enumeration Date | 06/13/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568992493 | NPI | - | NPPES |
| G077666 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G077666 (California) | Primary |
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