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NPI Code Detail

MEDICARE: SOUTH COAST MEDICAL CENTER

MEDICARE: SOUTH COAST MEDICAL CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing FacilityCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740266394
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH COAST MEDICAL CENTER
Provider Business Mailing Address
First Line : 31872 COAST HWY
Second Line :
City : LAGUNA BEACH
State : CA
Zip : 92651-6773
Country : US
Telephone Number : 949-499-1311
Fax Number : 949-499-7277
Provider Business Practice Location Address
First Line : 31872 COAST HWY
Second Line :
City : LAGUNA BEACH
State : CA
Zip : 92651-6773
Country : US
Telephone Number : 949-499-1311
Fax Number : 949-499-7277
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : JANET BAKER
Credential :
Telephone Number : 949-499-1311
Provider Enumeration Date : 12/15/2005
Last Update Date : 07/21/2022

Similar Medicare Providers

1912011453 — MARY K. ASHKENAZE M.D.
Practice Location Address:
31872 COAST HWY
LAGUNA BEACH, CA
92651-6773
Practice Phone: 949-499-1311
Practice Fax:
1548258239 — AMIR H RONAGHI M.D.
Practice Location Address:
31872 COAST HWY
LAGUNA BEACH, CA
92651-6773
Practice Phone: 949-499-7195
Practice Fax:
1649253972 — SOUTH COAST MEDICAL CENTER
Practice Location Address:
31872 COAST HWY
LAGUNA BEACH, CA
92651-6773
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Practice Fax: 949-499-7277
1073597860 — DR. ALEXANDER HAO FAN M.D.
Practice Location Address:
31872 COAST HWY
LAGUNA BEACH, CA
92651-6773
Practice Phone: 949-499-1311
Practice Fax: 949-499-8695
1336125970 — SOUTH COAST MEDICAL CENTER
Practice Location Address:
31872 COAST HWY
LAGUNA BEACH, CA
92651-6773
Practice Phone: 949-499-1311
Practice Fax:
1235115874 — SOUTH COAST MEDICAL CENTER
Practice Location Address:
31872 COAST HWY
LAGUNA BEACH, CA
92651-6773
Practice Phone: 949-499-1311
Practice Fax: 949-499-7277

Directions to “SOUTH COAST MEDICAL CENTER ” Practice Location

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