| Coastal Prestige Clinic | |
|
1677 Shell Beach Rd Shell Beach CA 93449-1927 | |
| (805) 416-2263 | |
| (805) 201-9134 |
| Full Name | Coastal Prestige Clinic |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 1677 Shell Beach Rd, Shell Beach, California |
| Authorized Official Name and Position | Johnnie Ham (CEO) |
| Authorized Official Contact | 8054162263 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Prestige Clinic 1677 Shell Beach Rd Shell Beach CA 93449-1927 Ph: (805) 416-2263 | Coastal Prestige Clinic 1677 Shell Beach Rd Shell Beach CA 93449-1927 Ph: (805) 416-2263 |
| NPI Number | 1487254413 |
|---|---|
| Provider Enumeration Date | 10/28/2020 |
| Last Update Date | 10/28/2020 |
| Certification Date | 10/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487254413 | NPI | - | NPPES |
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