| NPI | 1003828583 |
|---|---|
| Other Name | COASTAL VISION MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MICHELE M STEPP Contracting 714-771-1213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G83738) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2024-07-18 |