| NPI | 1275165979 |
|---|---|
| Doing Business As | COASTAL REGENERATIVE ORTHOPEDICS & WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | VICTORIA MARX Biller 714-308-4995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-11 |