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General NPI Number Information
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NPI Number | 1467339952
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Entity Type | Organization
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Legal Business Name | PACIFIC COAST PSYCHIATRY CORPORATION
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Dates
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Enumeration Date | 08/18/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 11878 AVENUE OF INDUSTRY
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City | SAN DIEGO
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State | CA
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Zip | 92128-3423
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Country | US
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Telephone | 760-566-6633
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Fax | 814-228-2117
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Provider Business Mailing Address
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Address Line | PO BOX 1770
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City | LA MESA
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State | CA
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Zip | 91944-1770
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Country | US
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Telephone | 760-566-6633
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Fax | 814-228-2117
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. YUELING LI
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Credential | MD
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Telephone | 760-566-6633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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