| South Coast Medical Group | |
|
5 Journey Suite 130 Aliso Viejo CA 92656 | |
| (949) 360-1069 | |
| Not Available |
| Full Name | South Coast Medical Group |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5 Journey Suite 130, Aliso Viejo, California |
| Authorized Official Name and Position | Johnna Gherardini (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9493601069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Coast Medical Group 5 Journey Suite 130 Aliso Viejo CA 92656 Ph: (949) 360-1069 | South Coast Medical Group 5 Journey Suite 130 Aliso Viejo CA 92656 Ph: (949) 360-1069 |
| NPI Number | 1821181538 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821181538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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