Pacific Coast Medicine, a Professional Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A101725 Issued in CA

Legal business name

PACIFIC COAST MEDICINE, A PROFESSIONAL CORPORATION

Practice address

361 Hospital Rd Ste 227
Newport Beach, CA 92663-3523

Phone

(949) 436-7294

Fax

(949) 612-1690

NPI assigned

Apr 7, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mariam Razi, M.D

Title

President

Phone

(949) 273-9247

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1255620522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3943 IRVINE BLVD STE 614",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926022400",
            "telephone_number": "949-436-7294",
            "fax_number": "949-612-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 HOSPITAL RD STE 227",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633523",
            "telephone_number": "949-436-7294",
            "fax_number": "949-612-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COAST MEDICINE, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-07",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "RAZI",
        "authorized_official_first_name": "MARIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-273-9247",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A101725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pacific Coast Physical Therapy
• Pacific Coast Therapy and Family Counseling Inc.
• Pacific Cosmetic and Facelift Center Inc.
• Pacific Dermatology Institute
• Pacific Hospitalist Associates a Medical Corporation

• Primary Care Clinic/Center in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.