Organization · NPI-2

Coast Medical Center, INC.

Family Medicine · Encinitas, CA

NPI number1740356005
StatusActive
Last updated in NPPESJun 8, 2015

Details

NPI
1740356005
Entity type
Organization (NPI-2)
Legal business name
Coast Medical Center, INC.
Organization subpart
No
Enumeration date
Nov 28, 2006
Last updated
Jun 8, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineA83666CAYes
261QP2300X Clinic/Center, Primary CareG70448CA

Practice location

227 N El Camino Real Ste 100
Encinitas, CA 92024-5821

Phone 760-436-5000 · Fax 760-436-9700

Mailing address

227 N El Camino Real Ste 100
Encinitas, CA 92024-5821

Phone 760-436-5000 · Fax 760-944-5543

Authorized official

Steven Williamson
Owner
7604365000

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