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NPI Code Detail

MEDICARE: SOUTH COAST GLOBAL MEDICAL CENTER, INC

MEDICARE: SOUTH COAST GLOBAL MEDICAL CENTER, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital060000143CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558354258
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH COAST GLOBAL MEDICAL CENTER, INC
Provider Business Mailing Address
First Line : 1301 N TUSTIN AVE
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-8619
Country : US
Telephone Number : 714-953-3500
Fax Number :
Provider Business Practice Location Address
First Line : 2701 S BRISTOL ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92704-6201
Country : US
Telephone Number : 714-754-5454
Fax Number :
Authorized Official
Title or Position : OFFICER
Name : MR. WILLIAM E THOMAS
Credential :
Telephone Number : 951-782-8812
Provider Enumeration Date : 08/26/2005
Last Update Date : 02/19/2025

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Directions to “SOUTH COAST GLOBAL MEDICAL CENTER, INC ” Practice Location

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