COASTAL PRESTIGE MEDICAL SERVICES INC NPI 1518101989

NPI Information

NPI: 1518101989
Provider Name: COASTAL PRESTIGE MEDICAL SERVICES, INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1677 SHELL BEACH RD
SHELL BEACH, CA
ZIP 93449
Phone: (805) 201-9135
Get Directions

COASTAL PRESTIGE MEDICAL SERVICES, INC is a primary care clinic center in Shell Beach, CA. COASTAL PRESTIGE MEDICAL SERVICES, INC NPI is 1518101989. The provider is registered as an organization entity type.

The provider's business location address is:

1677 SHELL BEACH RD
SHELL BEACH, CA
ZIP 93449-927
Phone: (805) 201-9135
Fax: (805) 201-9134

The provider's authorized official is Johnnie Alan Ham .
The authorized official title is Ceo and has the following contact phone number (805) 201-9135.

The enumeration date for this NPI number is 4/28/2009 and was last updated on 3/12/2020.

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	A90443	CALIFORNIA	Yes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »