| Coast To Coast Therapy Inc. | |
|
3980 9th Ave # 1 San Diego CA 92103-3244 | |
| (619) 618-9638 | |
| Not Available |
| Full Name | Coast To Coast Therapy Inc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3980 9th Ave # 1, San Diego, California |
| Authorized Official Name and Position | Steven Perunovich (CEO) |
| Authorized Official Contact | 6196189638 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coast To Coast Therapy Inc. 3980 9th Ave # 1 San Diego CA 92103-3244 Ph: (619) 618-9638 | Coast To Coast Therapy Inc. 3980 9th Ave # 1 San Diego CA 92103-3244 Ph: (619) 618-9638 |
| NPI Number | 1063859460 |
|---|---|
| Provider Enumeration Date | 05/28/2013 |
| Last Update Date | 05/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063859460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (California) | Primary |
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