COASTAL CARDIOLOGY A MEDICAL CORP NPI 1962664888

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 1962664888. 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 102
SAN LUIS OBISPO, CA
ZIP 93401-154
Phone: (805) 782-8844
Fax: (813) 613-2633

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

The CLIA number assigned to this NPI record is 05D2084691 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2008 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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