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General NPI Number Information
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NPI Number | 1144246562
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Entity Type | Organization
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Legal Business Name | COAST CARDIOLOGY MEDICAL ASSOCIATED
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 08/16/2007
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Provider Practice Location Address
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Address Line | 8540 S SEPULVEDA BLVD STE 118
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City | LOS ANGELES
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State | CA
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Zip | 90045-3818
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Country | US
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Telephone | 310-673-3945
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Fax | 310-674-0273
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Provider Business Mailing Address
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Address Line | 8540 S SEPULVEDA BLVD STE 118
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City | LOS ANGELES
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State | CA
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Zip | 90045-3818
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Country | US
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Telephone | 310-673-3945
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Fax | 310-674-0273
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. THOMAS T. TOGIOKA
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Credential | M.D.
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Telephone | 310-673-3945
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G57739
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License Number State | CA
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