NPI 1013218007

Coastline Medical Clinic INC

Organisation Pain Medicine Physician Westminster, CA

Practice location

Address: 15606 Brookhurst St STE a, Westminster, CA 92683-7581
Phone: (714) 531-7730
Fax: (714) 531-7793
Mailing address: PO Box 9658, Fountain Valley, CA 92728-9658

Authorised official

Name: Phong H Tran
Title: President
Phone: (714) 531-7730

Registered specialties

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X

Other Pain Medicine providers in California →

Registry record

NPI: 1013218007
Entity type: Organization
NPI issued: 8 Nov 2010
Record last updated: 29 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.