Provider Demographics
NPI:1548830268
Name:WEST COAST THORACIC SURGERY
Entity type:Organization
Organization Name:WEST COAST THORACIC SURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/CEO
Authorized Official - Prefix:
Authorized Official - First Name:OSITA
Authorized Official - Middle Name:
Authorized Official - Last Name:ONUGHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-212-8339
Mailing Address - Street 1:7381 LA TIJERA BLVD UNIT 45624
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-7027
Mailing Address - Country:US
Mailing Address - Phone:949-212-8339
Mailing Address - Fax:
Practice Address - Street 1:3831 HUGHES AVE STE 105
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90232-6834
Practice Address - Country:US
Practice Address - Phone:949-212-8339
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-25
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty