| NPI | 1154834190 |
|---|---|
| Doing Business As | COASTALORTHO |
| Entity Type | Organization |
| Authorized Contact | CARRIE KILLEN Practice Administrative 310-316-6190 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2020-07-15 |