COASTAL FAMILY MEDICINE INC NPI 1619232378

NPI Information

COASTAL FAMILY MEDICINE, INC is a multi-specialty clinic center in Irvine, CA. COASTAL FAMILY MEDICINE, INC NPI is 1619232378. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Family Care Centers.

The provider's business location address is:

4950 BARRANCA PKWY
SUITE 103
IRVINE, CA
ZIP 92604-630
Phone: (949) 552-2700
Fax: (949) 552-2701

The provider's authorized official is Mark D Schafer .
The authorized official title is President and has the following contact phone number (657) 241-3500.

The CLIA number assigned to this NPI record is 05D0580972 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/9/2012 and was last updated on 2/21/2019.

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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