COASTAL CARDIOLOGY A MEDICAL CORP NPI 1720183569

NPI Information

COASTAL CARDIOLOGY A MEDICAL CORP is a cardiovascular disease internal medicine in San Luis Obispo, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. COASTAL CARDIOLOGY A MEDICAL CORP NPI is 1720183569. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1941 JOHNSON AVE STE 101
SAN LUIS OBISPO, CA
ZIP 93401-154
Phone: (805) 782-8844
Fax: (813) 613-2634

The provider's authorized official is Melissa Goss .
The authorized official title is Practice Administrator, Coo and has the following contact phone number (805) 782-8844.

The CLIA number assigned to this NPI record is 05D1071816 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 7/9/2022.

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:

Other Identifiers

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