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General NPI Number Information
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NPI Number | 1023538220
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Entity Type | Organization
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Legal Business Name | COAST SURGERY CENTER INC.
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Dates
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Enumeration Date | 06/20/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 18800 DELAWARE ST STE 550
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-6085
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Country | US
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Telephone | 714-375-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 18800 DELAWARE ST STE 550
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-6085
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Country | US
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Telephone | 714-375-3600
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | PATRICIA A WASHINGTON
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Credential | M.D.
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Telephone | 714-375-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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