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Coastline Pain Center

Debarred entity

Coastline Pain Center is an entity of interest. It has not been found on international sanctions lists.

Type	Company				[sources]
Name	Coastline Pain Center				[sources]
Incorporation date	not available				[sources]
Jurisdiction	not available				[sources]
Country	United States				[sources]
Description	License number(s): 26688 · Provider number(s): GR0089030, 1659554061				[sources]
Registration number	not available				[sources]
Sector	Other				[sources]
Address	11201 Caroleen Lane, Grove, Garden, CA, 92841				[sources]
Last change	2024-11-07	Last processed	2024-11-07	First seen	2024-11-07

Sanctions
Authority	Program	Start date	End date
Department of Health Care Services	-	2023-09-12	-

Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.

United States · DHCS

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