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CROWN ISLAND FAMILY PRACTICE A MEDICAL CORPORATION NPI 1265855506


NPI Information

NPI: 1265855506
Provider Name: CROWN ISLAND FAMILY PRACTICE A MEDICAL CORPORATION
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D2075596

Address:
230 PROSPECT PL
SUITE 350
CORONADO, CA
ZIP 92118
Phone: (619) 537-6910
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CROWN ISLAND FAMILY PRACTICE A MEDICAL CORPORATION is a family medicine in Coronado, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CROWN ISLAND FAMILY PRACTICE A MEDICAL CORPORATION NPI is 1265855506. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

230 PROSPECT PL
SUITE 350
CORONADO, CA
ZIP 92118-978
Phone: (619) 537-6910
Fax: (619) 537-6905

The provider's authorized official is Kevin Considine .
The authorized official title is Medical Director and has the following contact phone number (619) 537-6910.

The CLIA number assigned to this NPI record is 05D2075596 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/22/2014 and was last updated on 10/6/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine20A6446CALIFORNIAYes

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: 4/28/2024

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