| California Coast Physicians, Inc. | |
|
2241 Wankel Way Ste B Oxnard CA 93030-0191 | |
| (805) 983-0425 | |
| (805) 983-0414 |
| Full Name | California Coast Physicians, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2241 Wankel Way Ste B, Oxnard, California |
| Authorized Official Name and Position | Christopher James Brana (PRESIDENT) |
| Authorized Official Contact | 8059830425 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| California Coast Physicians, Inc. 2241 Wankel Way Ste B Oxnard CA 93030-0191 Ph: (805) 983-0425 | California Coast Physicians, Inc. 2241 Wankel Way Ste B Oxnard CA 93030-0191 Ph: (805) 983-0425 |
| NPI Number | 1063002061 |
|---|---|
| Provider Enumeration Date | 01/23/2021 |
| Last Update Date | 10/20/2023 |
| Medicare PECOS PAC ID | 5991114324 |
|---|---|
| Medicare Enrollment ID | O20210514000389 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063002061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Christopher James Brana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386096345 PECOS PAC ID: 6901239540 Enrollment ID: I20191212000179 |
| Provider Name | Tessa Leone Shuler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104537638 PECOS PAC ID: 8921457508 Enrollment ID: I20231207002284 |
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