Coastal Medical Corporation | |
2406 Torrance Blvd Torrance CA 90501-2401 | |
(310) 328-3421 | |
(310) 328-3429 |
Full Name | Coastal Medical Corporation |
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Speciality | Family Medicine |
Location | 2406 Torrance Blvd, Torrance, California |
Authorized Official Name and Position | Jeffery Adam Ostriker (SOLE SHARE HOLDER) |
Authorized Official Contact | 3103283421 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Coastal Medical Corporation Po Box 4269 Palos Verdes Estates CA 90274-9577 Ph: (310) 328-3421 | Coastal Medical Corporation 2406 Torrance Blvd Torrance CA 90501-2401 Ph: (310) 328-3421 |
NPI Number | 1104842491 |
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Provider Enumeration Date | 07/14/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104842491 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G48181 (California) | Primary |
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