| Coast Medical Center, Inc. | |
|
227 N El Camino Real Ste 100 Encinitas CA 92024-5821 | |
| (760) 436-5000 | |
| (760) 436-9700 |
| Full Name | Coast Medical Center, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 227 N El Camino Real Ste 100, Encinitas, California |
| Authorized Official Name and Position | Steven Williamson (OWNER) |
| Authorized Official Contact | 7604365000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coast Medical Center, Inc. 227 N El Camino Real Ste 100 Encinitas CA 92024-5821 Ph: (760) 436-5000 | Coast Medical Center, Inc. 227 N El Camino Real Ste 100 Encinitas CA 92024-5821 Ph: (760) 436-5000 |
| NPI Number | 1740356005 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 06/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740356005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A83666 (California) | Primary |
| 261QP2300X | Clinic/center - Primary Care | G70448 (California) | Secondary |
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