SOUTH COAST MEDICAL GROUP NPI 1821181538

NPI Information

  • NPI: 1821181538
  • Provider Name: SOUTH COAST MEDICAL GROUP
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 5 JOURNEY SUITE 130
    ALISO VIEJO, CA
    ZIP 92656
  • Phone: (949) 360-1069

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NPI Details

SOUTH COAST MEDICAL GROUP is a primary care clinic center in Aliso Viejo, CA. SOUTH COAST MEDICAL GROUP NPI is 1821181538. The provider is registered as an organization entity type.

The provider's business location address is:

5 JOURNEY SUITE 130
ALISO VIEJO, CA
ZIP 92656
Phone: (949) 360-1069

The provider's authorized official is Johnna Gherardini .
The authorized official title is Executive Director and has the following contact phone number (949) 360-1069.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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