| Organization Name: | SOUTH COAST MEDICAL CENTER FOR NEW MED.INC |
| NPI Number: | 1801095427 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LEIGH ERIN CONNEALY (MEDICAL DIRECTOR/OWNER) |
| Mailing Address: | 6 Hughes Suite 100-150 Irvine |
| State: | CA US |
| Postal Code: | 926182059 |
| Phone Number: | 9496801907 |
| Fax Number: | |
| NPI Enumeration Date: | 07/13/2007 |
| NPI Last Update Date: | 08/22/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |