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SUN COAST WEST MEDICAL CLINIC INC. NPI 1760716278


NPI Information

NPI: 1760716278
Provider Name: SUN COAST WEST MEDICAL CLINIC, INC.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1045 W FOOTHILL BLVD
UPLAND, CA
ZIP 91786
Phone: (909) 985-7188
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SUN COAST WEST MEDICAL CLINIC, INC. is a specialist in Upland, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SUN COAST WEST MEDICAL CLINIC, INC. NPI is 1760716278. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1045 W FOOTHILL BLVD
UPLAND, CA
ZIP 91786-731
Phone: (909) 985-7188
Fax: (909) 373-2007

The provider's authorized official is Louis C. Redix .
The authorized official title is Owner and has the following contact phone number (909) 985-7188.

The enumeration date for this NPI number is 9/30/2009 and was last updated on 9/30/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistG44785CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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