institution
South Coast Medical Group Family And Sports Medicine
Primary Care Clinic/Center in Aliso Viejo, California
NPI 1649337221

South Coast Medical Group Family And Sports Medicine is a Primary Care Clinic/Center based in Aliso Viejo, CA and is specialized in Primary Care. South Coast Medical Group Family And Sports Medicine practices in Aliso Viejo, CA. The NPI Number for South Coast Medical Group Family And Sports Medicine is 1649337221 and holds a License No. (California).

The current practice location address for South Coast Medical Group Family And Sports Medicine is 5 Journey Ste 130, Aliso Viejo, CA and can be reached out via phone at 949-360-1069 and via fax at 949-389-8968. You can also correspond with South Coast Medical Group Family And Sports Medicine through the mailing address at 5 JOURNEY STE 130, ALISO VIEJO, CA - 92656-5330 (mailing address contact number: 949-360-1069).

Location: 5 Journey Ste 130, Aliso Viejo, CA, 92656-5330
institution
Provider Profile Details
NPI Number
1649337221
Provider Name
South Coast Medical Group Family And Sports Medicine
Credential
Provider Entity Type
Organization
Address
5 Journey Ste 130, Aliso Viejo, CA, 92656-5330
Phone Number
949-360-1069
Fax Number
949-389-8968
Provider Enumeration Date
01/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1619061397 01 CA JOHN CHENG, MD
1598723058 01 CA ARCHANNA BHOGILL, MD
1861586554 01 CA SHANNON O'CONNOR, MD
1932284478 01 CA ERIC CLARK, MD
institution
Provider Business Practice Location Address Details
Address
5 Journey Ste 130
City
State
Zip
92656-5330
Phone Number
949-360-1069
Fax Number
949-389-8968
person
Provider Business Mailing Address Details
Address
5 Journey Ste 130
City
State
Zip
92656-5330
Phone Number
949-360-1069
Fax Number
949-389-8968
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
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Definition
Definition to come...
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