NPI | 1205375094 |
---|---|
Doing Business As | COASTAL PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | KAZI REZAI Owner 805-314-5542 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 20A12157) |
Enumeration Date | 2017-02-14 |
Last Update Date | 2017-02-14 |