South Coast Family Medicine, Inc

LBN: South Coast Family Medicine, Inc
South Coast Family Medicine, Inc is an health care organization with primary practice located at 2650 S Bristol St 105, Santa Ana CA 92704-5751. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. South Coast Family Medicine, Inc can be contacted via phone (714) 800-1919, or through Minkus, Roxana P via phone (714) 800-1919.

Contact Information

Primary practice address
2650 S Bristol St 105 Santa Ana CA 92704-5751
Phone: (714) 800-1919
Fax: (714) 800-1924
Website:
Map and Directions
Authorized official contact:
Name: Minkus, Roxana P Doctor of Osteopathy (DO)
Phone: (714) 800-1919

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1821115817
LBN Legal business name South Coast Family Medicine, Inc
DBA Doing business as
Authorized official Minkus, Roxana P Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2007
Last updated Dec 13th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821115817 NPPES
California MEDICAID 00AX66720A

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