| Coastal Dream Docs Inc | |
|
2860 N Santiago Blvd Ste 110 Orange CA 92867-1722 | |
| (949) 645-0000 | |
| (949) 645-0003 |
| Full Name | Coastal Dream Docs Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2860 N Santiago Blvd, Orange, California |
| Authorized Official Name and Position | Stephen M Seink (VICE PRESIDENT) |
| Authorized Official Contact | 9496450000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Dream Docs Inc 2860 N Santiago Blvd Ste 110 Orange CA 92867-1722 Ph: (949) 645-0000 | Coastal Dream Docs Inc 2860 N Santiago Blvd Ste 110 Orange CA 92867-1722 Ph: (949) 645-0000 |
| NPI Number | 1043571391 |
|---|---|
| Provider Enumeration Date | 06/04/2012 |
| Last Update Date | 06/04/2012 |
| Medicare PECOS PAC ID | 1456503788 |
|---|---|
| Medicare Enrollment ID | O20131107000933 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043571391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RB0002X | Internal Medicine - Obesity Medicine | (* (Not Available)) | Secondary |
| 207RS0012X | Internal Medicine - Sleep Medicine | (* (Not Available)) | Primary |
| Provider Name | Stephen M Seink |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1164469532 PECOS PAC ID: 3375506645 Enrollment ID: I20150313000048 |
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