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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COASTAL VILLAGE PRIMARY CARE, A MEDICAL GROUP

Active Organization

COASTAL VILLAGE PRIMARY CARE, A MEDICAL GROUP is a Family Medicine organization located in PISMO BEACH, California. NPI 1053742528 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · PISMO BEACH, CA

Registration Details

NPI Number
1053742528
Provider Type
Organization
NPI Issued
Dec 9, 2013 (12.498725229454 yrs)
Last Updated
Dec 9, 2013
License
A49080 (CA)

Practice Information

Address
2 JAMES WAY
STE 209
PISMO BEACH, CA, 934494976
Browse CA providers · Browse ZIP 93449
Phone
8057737440
Fax
8057737448
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.