Provider Demographics
NPI:1407371115
Name:WEST COAST POST ACUTE PHYSICIANS, INC.
Entity Type:Organization
Organization Name:WEST COAST POST ACUTE PHYSICIANS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE
Authorized Official - Prefix:DR
Authorized Official - First Name:JEAN-CLAUDE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-886-4917
Mailing Address - Street 1:1690 BARTON RD STE 106
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-4230
Mailing Address - Country:US
Mailing Address - Phone:909-886-4917
Mailing Address - Fax:
Practice Address - Street 1:1690 BARTON RD STE 106
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-4230
Practice Address - Country:US
Practice Address - Phone:909-886-4917
Practice Address - Fax:909-886-0699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-03
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty