| Pacific Coast Osteopathy | |
|
550 Silver Spur Rd Ste 240 Rolling Hills Estates CA 90275-3612 | |
| (310) 792-8900 | |
| (310) 792-8907 |
| Full Name | Pacific Coast Osteopathy |
|---|---|
| Speciality | Family Medicine |
| Location | 550 Silver Spur Rd Ste 240, Rolling Hills Estates, California |
| Authorized Official Name and Position | Tina Ashrafzadeh (PHYSICIAN/OWNER) |
| Authorized Official Contact | 3107928900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Coast Osteopathy 550 Silver Spur Rd Ste 240 Rolling Hills Estates CA 90275-3612 Ph: (310) 792-8900 | Pacific Coast Osteopathy 550 Silver Spur Rd Ste 240 Rolling Hills Estates CA 90275-3612 Ph: (310) 792-8900 |
| NPI Number | 1235477498 |
|---|---|
| Provider Enumeration Date | 01/23/2013 |
| Last Update Date | 11/05/2021 |
| Medicare PECOS PAC ID | 9931341856 |
|---|---|
| Medicare Enrollment ID | O20130806000239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235477498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A9974 (California) | Primary |
| Provider Name | Hovsep R Babayan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740435460 PECOS PAC ID: 7618130139 Enrollment ID: I20120521000521 |
| Provider Name | Tina Ashrafzadeh |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1730341835 PECOS PAC ID: 0840432761 Enrollment ID: I20140408001396 |
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