COASTAL VILLAGE PRIMARY INC NPI 1396080511

NPI Information

COASTAL VILLAGE PRIMARY, INC is a family medicine in Pismo Beach, 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. COASTAL VILLAGE PRIMARY, INC NPI is 1396080511. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2 JAMES WAY
SUITE 209
PISMO BEACH, CA
ZIP 93449-973
Phone: (805) 773-7440
Fax: (805) 773-7448

The provider's authorized official is Joseph A Cruz .
The authorized official title is President/owner and has the following contact phone number (805) 773-7440.

The enumeration date for this NPI number is 11/28/2012 and was last updated on 11/28/2012.

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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