| South Coast Global Medical Center, Inc | |
|
2701 S Bristol St Santa Ana CA 92704-6201 | |
| (714) 754-5454 | |
| Not Available |
| Full Name | South Coast Global Medical Center, Inc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2701 S Bristol St, Santa Ana, California |
| Authorized Official Name and Position | John R Collins (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7149533652 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Coast Global Medical Center, Inc 1301 N Tustin Ave Santa Ana CA 92705-8619 Ph: (714) 953-3500 | South Coast Global Medical Center, Inc 2701 S Bristol St Santa Ana CA 92704-6201 Ph: (714) 754-5454 |
| NPI Number | 1063531465 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 06/22/2016 |
| Medicare PECOS PAC ID | 5890758239 |
|---|---|
| Medicare Enrollment ID | O20090615000208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063531465 | NPI | - | NPPES |
| HSM30535I | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 060000143 (California) | Primary |
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