PACIFIC COAST MEDICINE A PROFESSIONAL CORPORATION NPI 1255620522

NPI Information

NPI: 1255620522
Provider Name: PACIFIC COAST MEDICINE, A PROFESSIONAL CORPORATION
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
361 HOSPITAL RD STE 227
NEWPORT BEACH, CA
ZIP 92663
Phone: (949) 436-7294
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PACIFIC COAST MEDICINE, A PROFESSIONAL CORPORATION is a primary care clinic center in Newport Beach, CA. PACIFIC COAST MEDICINE, A PROFESSIONAL CORPORATION NPI is 1255620522. The provider is registered as an organization entity type.

The provider's business location address is:

361 HOSPITAL RD STE 227
NEWPORT BEACH, CA
ZIP 92663-523
Phone: (949) 436-7294
Fax: (949) 612-1690

The provider's authorized official is Mariam Razi .
The authorized official title is President and has the following contact phone number (949) 273-9247.

The enumeration date for this NPI number is 4/7/2011 and was last updated on 4/17/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	A101725	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	FH510A	MEDICARE PIN	CALIFORNIA

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: 5/5/2024

NPI Synchronization or Removal

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