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

COASTAL VILLAGE PRIMARY, INC

Active Organization

COASTAL VILLAGE PRIMARY, INC is a Family Medicine organization located in PISMO BEACH, California. NPI 1396080511 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · PISMO BEACH, CA

Registration Details

NPI Number
1396080511
Provider Type
Organization
NPI Issued
Nov 28, 2012 (13.527735761979 yrs)
Last Updated
Nov 28, 2012
License
A49080 (CA)

Practice Information

Address
2 JAMES WAY
SUITE 209
PISMO BEACH, CA, 934494973
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.