COASTAL MEDICAL GROUP INC NPI 1780998005

NPI Information

COASTAL MEDICAL GROUP INC is a plastic and reconstructive surgery surgery in San Diego, CA. The provider is a surgeon who specializes in plastic and reconstructive surgery. COASTAL MEDICAL GROUP INC NPI is 1780998005. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12264 EL CAMINO REAL
SUITE 101
SAN DIEGO, CA
ZIP 92130-058
Phone: (858) 847-0800
Fax: (858) 724-0450

The provider's authorized official is Munish K Batra .
The authorized official title is Owner and has the following contact phone number (858) 847-0800.

The enumeration date for this NPI number is 7/28/2010 and was last updated on 7/28/2010.

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:

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