| Coastal Physicians Medical Group | |
|
824 E Carson St Ste 101 Carson CA 90745-2262 | |
| (310) 233-3202 | |
| (310) 233-3208 |
| Full Name | Coastal Physicians Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 824 E Carson St Ste 101, Carson, California |
| Authorized Official Name and Position | Luis G Magdaleno (CEO) |
| Authorized Official Contact | 3108324225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Physicians Medical Group 824 E Carson St Ste 101 Carson CA 90745-2262 Ph: (310) 233-3202 | Coastal Physicians Medical Group 824 E Carson St Ste 101 Carson CA 90745-2262 Ph: (310) 233-3202 |
| NPI Number | 1588845978 |
|---|---|
| Provider Enumeration Date | 11/14/2007 |
| Last Update Date | 11/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588845978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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