NPI

South Coast Health & Wellness Corporation

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Organization
Enumeration date
2006-07-11
Last updated
2020-01-21

Specialties

Licenses

License CA
250000115

Location

Practice location
4768 Palm Ave
City
Riverside CA
Postal code
92501-4012
Phone
(951) 686-9001

Organization contact

Name
CHERYL JUMONVILLE
Title
President/Owner
Phone
9516869001

Medicare

PECOS
No PECOS enrollment row matched this NPI.

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