| NPI | 1740311737 |
|---|---|
| Doing Business As | COASTAL KIDS |
| Doing Business As | COASTAL KIDS, A PROFESSIONAL MEDICAL CORPORATION |
| Entity Type | Organization |
| Authorized Contact | JEFFREY THOMPSON Vice President 949-448-8821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA a56395) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2023-11-17 |