Coastal Eye Associates, A Medical Corporation
Ophthalmology in Freedom, CA. Organization (NPI-2).
NPI number1164560066
StatusActive
Last updated in NPPESJul 28, 2014
Details
- NPI
- 1164560066
- Entity type
- Organization (NPI-2)
- Legal business name
- Coastal Eye Associates, A Medical Corporation
- Organization subpart
- No
- Enumeration date
- Feb 2, 2007
- Last updated
- Jul 28, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | FNP24052 | CA | Yes |
Practice location
160 Green Valley RdSuite 202
Freedom, CA 95019-3160
Phone 831-728-2020 · Fax 831-728-4739
Mailing address
160 Green Valley RdSuite 202
Freedom, CA 95019-3160
Phone 831-728-2020 · Fax 831-728-4739
Authorized official
Conrad K Hamako
President
8317282020
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