COASTAL COMMUNITIES PHYSICIAN NETWORK, INC.

SAN LUIS OBISPO, CA
NPI1275735011
Entity TypeOrganization
Authorized ContactJU HUAN LEE
Medical Director
661-327-4411
Organization Subpart ?No
Primary Taxonomy302R00000X Health Maintenance Organization
(Licence: CA  30221170)
Enumeration Date2007-06-04
Last Update Date2015-07-21
Business Address
COASTAL COMMUNITIES PHYSICIAN NETWORK, INC.
35 CASA ST STE 170
SAN LUIS OBISPO, CA 93405-1887
Phone number: 805-549-0677
Mailing Address
COASTAL COMMUNITIES PHYSICIAN NETWORK, INC.
4580 CALIFORNIA AVE
BAKERSFIELD, CA 93309-1104
Phone number: 805-549-0677