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

COASTAL VILLAGE PRIMARY CARE

Active Organization

COASTAL VILLAGE PRIMARY CARE is a Family Medicine organization located in PISMO BEACH, California. NPI 1992738496 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · PISMO BEACH, CA

Registration Details

NPI Number
1992738496
Provider Type
Organization
NPI Issued
Jul 8, 2006 (19.919361933172 yrs)
Last Updated
Sep 16, 2011
Licenses
A70251 (CA)
A49080 (CA)

Practice Information

Address
2 JAMES WAY
SUITE 209
PISMO BEACH, CA, 934494976
Browse CA providers · Browse ZIP 93449
Phone
8057737440
Fax
8057737448
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
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.