| Coastal Primary Care | |
|
18672 Florida St 302-b Huntington Beach CA 92648-1925 | |
| (805) 314-5542 | |
| (805) 466-4229 |
| Full Name | Coastal Primary Care |
|---|---|
| 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 |
|---|---|
| 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 | 1932653565 |
|---|---|
| Provider Enumeration Date | 08/11/2016 |
| Last Update Date | 08/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932653565 | 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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