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General NPI Number Information
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NPI Number | 1063531465
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Entity Type | Organization
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Legal Business Name | SOUTH COAST GLOBAL MEDICAL CENTER, INC
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 2701 S BRISTOL ST
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City | SANTA ANA
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State | CA
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Zip | 92704-6201
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Country | US
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Telephone | 714-754-5454
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 N TUSTIN AVE
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City | SANTA ANA
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State | CA
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Zip | 92705-8619
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Country | US
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Telephone | 714-953-3500
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | MR. WILLIAM THOMAS
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Credential |
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Telephone | 951-782-8812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 060000143
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License Number State | CA
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