| NPI | 1326702457 |
|---|---|
| Other Name | COASTAL A.S.C., LLC |
| Entity Type | Organization |
| Authorized Contact | GINA RENE PARSONS Administrator 916-296-8419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2022-07-21 |