Healthcare Provider Details

I. General information

NPI: 1821878299
Provider Name (Legal Business Name): WEST COAST PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2023
Last Update Date: 10/03/2023
Certification Date: 10/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23905 CLINTON KEITH RD # 114-503
WILDOMAR CA
92595-7897
US

IV. Provider business mailing address

23905 CLINTON KEITH RD # 114-503
WILDOMAR CA
92595-7897
US

V. Phone/Fax

Practice location:
  • Phone: 951-514-8824
  • Fax:
Mailing address:
  • Phone: 951-514-8824
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247000000X
TaxonomyHealth Information Technician
License Number
License Number State

VIII. Authorized Official

Name: JULI MARKHAM
Title or Position: OWNER
Credential:
Phone: 951-514-8824