| West Coast Multi Medical Specialty Clinic Inc | |
|
13071 Brookhurst St Ste 170 Garden Grove CA 92843-1061 | |
| (562) 860-2442 | |
| Not Available |
| Full Name | West Coast Multi Medical Specialty Clinic Inc |
|---|---|
| Speciality | Emergency Medicine - Emergency Medical Services |
| Location | 13071 Brookhurst St Ste 170, Garden Grove, California |
| Authorized Official Name and Position | Amable R. Aguiluz (PRESIDENT/CEO) |
| Authorized Official Contact | 5628223776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Coast Multi Medical Specialty Clinic Inc 13071 Brookhurst St Ste 170 Garden Grove CA 92843-1061 Ph: () - | West Coast Multi Medical Specialty Clinic Inc 13071 Brookhurst St Ste 170 Garden Grove CA 92843-1061 Ph: (562) 860-2442 |
| NPI Number | 1144789660 |
|---|---|
| Provider Enumeration Date | 03/14/2019 |
| Last Update Date | 03/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144789660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207PE0004X | Emergency Medicine - Emergency Medical Services | (* (Not Available)) | Primary |
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