| South Coast Medical & Therapy, Inc. | |
|
138 N Brand Blvd Ste 200 Glendale CA 91203-4617 | |
| (818) 241-9600 | |
| (818) 941-9601 |
| Full Name | South Coast Medical & Therapy, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 138 N Brand Blvd Ste 200, Glendale, California |
| Authorized Official Name and Position | Jonathan I-chun Wang (PRESIDENT) |
| Authorized Official Contact | 8182419600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Coast Medical & Therapy, Inc. 138 N Brand Blvd Ste 200 Glendale CA 91203-4617 Ph: (818) 241-9600 | South Coast Medical & Therapy, Inc. 138 N Brand Blvd Ste 200 Glendale CA 91203-4617 Ph: (818) 241-9600 |
| NPI Number | 1124291091 |
|---|---|
| Provider Enumeration Date | 04/10/2008 |
| Last Update Date | 04/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124291091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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