COASTAL FAMILY MEDICINE INC NPI 1134557655

NPI Information

COASTAL FAMILY MEDICINE INC is a multi-specialty clinic center in Newport Beach, CA. COASTAL FAMILY MEDICINE INC NPI is 1134557655. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Family Care Centers Medical Group.

The provider's business location address is:

1441 AVOCADO AVE
SUITE 503
NEWPORT BEACH, CA
ZIP 92660-721
Phone: (949) 718-9020
Fax: (949) 718-9040

The provider's authorized official is Mark D Schafer .
The authorized official title is Authorized Official and has the following contact phone number (657) 241-3500.

The CLIA number assigned to this NPI record is 05D2007572 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/18/2013 and was last updated on 2/21/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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