| Coastal Gastroenterology, A Prof. Corp. | |
|
700 Garden View Ct Suite 102 Encinitas CA 92024-2478 | |
| (760) 783-0441 | |
| Not Available |
| Full Name | Coastal Gastroenterology, A Prof. Corp. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 700 Garden View Ct, Encinitas, California |
| Authorized Official Name and Position | Robert H Goldklang (PRESIDENT) |
| Authorized Official Contact | 7607830441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Gastroenterology, A Prof. Corp. Po Box 231543 Encinitas CA 92023-1543 Ph: (760) 783-0441 | Coastal Gastroenterology, A Prof. Corp. 700 Garden View Ct Suite 102 Encinitas CA 92024-2478 Ph: (760) 783-0441 |
| NPI Number | 1346234333 |
|---|---|
| Provider Enumeration Date | 09/06/2005 |
| Last Update Date | 12/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346234333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 18081 (California) | Primary |
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