SOUTH COAST MEDICAL & THERAPY, INC.


Address: 138 N Brand Blvd Ste 200, Glendale, CA 91203-4617
Phone: 8182419600

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Office Location

Street Address 138 N BRAND BLVD STE 200
City GLENDALE
State CA
Zip Code 91203-4617

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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
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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
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

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).

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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
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Competitor

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City GLENDALE
Zip Code 91203

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Dataset Information

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.

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