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Contact Information

WEST COAST PEDIATRIC NEUROSURGICAL
1010 WEST LA VETA AVE
SUITE 710
ORANGE, CA92868
 Phone: 714-835-2724
 Fax: 714-835-2751
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for WEST COAST PEDIATRIC NEUROSURGICAL

NPI Number 1699889923
LBN Legal business name WEST COAST PEDIATRIC NEUROSURGICAL
Authorized official MICHAEL MUHONEN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/17/2006
Last updated 03/23/2010 - About 16 years ago
Identifiers
CA Medicaid GR0090060
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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