Coastal Vascular Medicine Inc

NPI 1104234194 - Internal Medicine - 207R00000X

NPI Details
NPI 1104234194
Enumeration Date 07/23/2014
Last Updated 07/23/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name EHAB EHAB
Position OWNER
Phone (949) 631-6002
Fax (949) 631-6982
Practice Location
351 HOSPITAL RD
401
NEWPORT BEACH CA, 92663-3509, US
Phone (949) 631-6002
Fax (949) 631-6982
Business Location
PO BOX 15756
NEWPORT BEACH CA, 92659-5756, US
Phone (657) 241-3600
Fax (657) 241-7720
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number 10166
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According to our database, Coastal Vascular Medicine Inc NPI is 1104234194, taxonomy code is 207R00000X and license number is 10166, license state is located at California. Coastal Vascular Medicine Inc physically located at 351 Hospital Rd, Newport Beach CA, 92663-3509. NPI Number 1033115704 has the healthcare provider type.

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1104234194 NPI number is provided on an as is basis without warranty of any kind. 1104234194 is maintained by the National Plan & Provider Enumeration System. The contents of Coastal Vascular Medicine Inc are for informational purposes only.