Coastal Primary Care | |
18672 Florida St 302-b Huntington Beach CA 92648-1925 | |
(805) 314-5542 | |
(805) 466-4229 |
Full Name | Coastal Primary Care |
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Speciality | Clinic/center - Primary Care |
Location | 18672 Florida St, Huntington Beach, California |
Authorized Official Name and Position | Kazi Rezai (OWNER) |
Authorized Official Contact | 8053145542 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Coastal Primary Care 18672 Florida St 302-b Huntington Beach CA 92648-1925 Ph: (805) 314-5542 | Coastal Primary Care 18672 Florida St 302-b Huntington Beach CA 92648-1925 Ph: (805) 314-5542 |
NPI Number | 1205375094 |
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Provider Enumeration Date | 02/14/2017 |
Last Update Date | 02/14/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205375094 | NPI | - | NPPES |
1386962686 | Other | CA | INDIVIDUAL NPI NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 20A12157 (California) | Primary |
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