DR KAZI CLINIC INC NPI 1205375094

NPI Information

NPI: 1205375094
Provider Name: DR KAZI CLINIC INC

Doing Business As: COASTAL PRIMARY CARE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
18672 FLORIDA ST
302-B
HUNTINGTON BEACH, CA
ZIP 92648
Phone: (805) 314-5542
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DR KAZI CLINIC INC is a primary care clinic center in Huntington Beach, CA. DR KAZI CLINIC INC NPI is 1205375094. The provider is registered as an organization entity type.
The provider Is Doing Business As Coastal Primary Care.

The provider's business location address is:

18672 FLORIDA ST
302-B
HUNTINGTON BEACH, CA
ZIP 92648-925
Phone: (805) 314-5542
Fax: (805) 466-4229

The provider's authorized official is Kazi Rezai .
The authorized official title is Owner and has the following contact phone number (805) 314-5542.

The CLIA number assigned to this NPI record is 05D2258576 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2017 and was last updated on 2/14/2017.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	20A12157	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1386962686	OTHER	CALIFORNIA	INDIVIDUAL NPI NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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