SOUTH COAST MEDICAL GROUP FAMILY AND SPORTS MEDICINE is a primary care clinic center in Aliso Viejo, CA. SOUTH COAST MEDICAL GROUP FAMILY AND SPORTS MEDICINE NPI is 1649337221. The provider is registered as an organization entity type.
The provider's business location address is:
5 JOURNEY STE 130
ALISO VIEJO, CA
ZIP 92656-330
Phone: (949) 360-1069
Fax: (949) 389-8968
The provider's authorized official is Johnna Gherardini .
The authorized official title is Executive Director and has the following contact phone number (949) 360-1069.
The CLIA number assigned to this NPI record is 05D1064345 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/2/2007 and was last updated on 7/30/2015.