Coastal Medical Corporation
Family Medicine in Torrance, CA. Organization (NPI-2).
NPI number1104842491
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1104842491
- Entity type
- Organization (NPI-2)
- Legal business name
- Coastal Medical Corporation
- Organization subpart
- No
- Enumeration date
- Jul 14, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | G48181 | CA | Yes |
Practice location
2406 Torrance BlvdTorrance, CA 90501-2401
Phone 310-328-3421 · Fax 310-328-3429
Mailing address
Po Box 4269Palos Verdes Estates, CA 90274-9577
Phone 310-328-3421 · Fax 310-329-3429
Authorized official
Jeffery Adam Ostriker
Sole Share Holder
3103283421
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