SOUTH COAST MEDICAL & THERAPY, INC. (NPI# 1124291091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124291091 |
Entity Type | Organization |
Organization Name | SOUTH COAST MEDICAL & THERAPY, INC. |
Practice Address |
138 N Brand Blvd Ste 200 Glendale CA 91203-4617 |
Practice Telephone | 8182419600 |
Practice Fax Number | 8189419601 |
Mailing Telephone | 8182419600 |
Mailing Fax Number | 8189419601 |
Enumeration Date | 2008-04-10 |
Last Update Date | 2008-04-10 |
Authorized Official Name | DR. JONATHAN I-CHUN WANG (PRESIDENT) |
Authorized Official Telephone | 8182419600 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Street Address |
138 N BRAND BLVD STE 200 |
City | GLENDALE |
State | CA |
Zip Code | 91203-4617 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487115044 | Family & Friends Home Health Care Inc | Home Health | 417 W Arden St Suite 106a, Glendale, CA 91203 | 2019-03-27 |
1801354758 | Remedy Medical of California PC | Emergency Medicine | 138 N. Brand Blvd., Ste. 200, Unit 163, Glendale, CA 91203 | 2019-03-11 |
1609381730 | Envoy Hospice Care Inc | Hospice Care, Community Based | 5002 N Central Ave Ste 510, Glendale, CA 91203 | 2017-12-12 |
1093227712 | Goarik Susan Akopyan | Case Manager/Care Coordinator | 237 N Central Ave, Glendale, Ca 91203, Glendale, CA 91203 | 2017-11-03 |
1588190664 | Vanessa Guzman | Physician Assistant | 600 N. Central Ave, 322, Glendale, CA 91203 | 2017-05-10 |
1114465796 | Elizabeth Pedroza Estrada | Case Manager/Care Coordinator | 237 North Glendale, Glendale, CA 91203 | 2017-02-03 |
1477090934 | Blue Med-ride Medical Transportation | Non-emergency Medical Transport (VAN) | 121 W Lexington Dr # L200, Glendale, CA 91203 | 2017-01-23 |
1427593557 | Ofelia Oundjian | Counselor | 237 N Central Ave., Glendale, CA 91203 | 2016-12-28 |
1316396823 | Shaunak Jaiprakash Intwala | Pharmacist | 330 N Brand Blvd Ste 155, Glendale, CA 91203 | 2016-06-06 |
1295117315 | Luis Ernesto Garcia Artiga | Licensed Vocational Nurse | 500 N Central Ave Suite 250, Glendale, CA 91203 | 2015-06-25 |
Find all providers in zip 91203 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
1427618750 | Chiron Trine | Clinic/Center | 1915 Broadview Dr, Glendale, CA 91208-1201 | 2019-06-18 |
1487131603 | Joseph Mazzei Integrative Medicine Pllc | Clinic/Center | 18185 N 83rd Ave Ste 209, Glendale, AZ 85308-0519 | 2018-07-20 |
1528557352 | Central Medical Business Management | Clinic/Center | 1141 N Brand Blvd Ste 404, Glendale, CA 91202-2973 | 2018-05-07 |
1912432873 | Pro Sleep Testing | Clinic/Center | 16222 N 59th Ave Ste D170, Glendale, AZ 85306-1708 | 2017-04-27 |
1649638263 | Wellness Works | Clinic/Center | 540 W. Broadway, Glendale, CA 91204-1120 | 2016-02-10 |
1104214113 | Kasra Navabi Md | Clinic/Center | 3217 N Verdugo Rd, #2, Glendale, CA 91208-1672 | 2014-12-26 |
1932490422 | John F Madden Md PC | Clinic/Center | 10040 N 43rd Ave, 2b, Glendale, AZ 85302-2770 | 2011-05-02 |
1467653451 | Boghossian & Martikian Chiropractic Inc | Clinic/Center | 435 Arden Ave Ste 120, Glendale, CA 91203-4028 | 2007-05-29 |
1548383888 | Cigna Health Care of Arizona Inc. | Clinic/Center | 20165 N 67th Ave, Suite 107, Glendale, AZ 85308-7002 | 2007-04-10 |
Find all providers in GLENDALE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.