| NPI | 1104864131 |
|---|---|
| Doing Business As | COASTALORTHO |
| Entity Type | Organization |
| Authorized Contact | DIANA A AMEZOLA Billing Manager 310-316-6190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA 22653) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-07-23 |