| NPI | 1588845978 |
|---|---|
| Former Legal Business Name | COASTAL PHYSICIANS MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | LUIS G MAGDALENO CEO 310-832-4225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2007-11-15 |