COASTAL PSYCHIATRIC MEDICAL ASSOCIATES, INC.

SAN DIEGO, CA
NPI1851405765
Other NameCOASTAL MANAGEMENT SERVICE ORGANIZATION
Entity TypeOrganization
Authorized ContactROBERT JAY SOLOMON
President/Medical Director
858-405-4423
Organization Subpart ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  PSY 20859)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: CA  LCS 21909)
1041C0700X Social Worker, Clinical
(Licence: CA  LCS18331)
1041C0700X Social Worker, Clinical
(Licence: CA  LCS 17640)
1041C0700X Social Worker, Clinical
(Licence: CA  LCS 21666)
1041C0700X Social Worker, Clinical
(Licence: CA  LCS 18149)
106H00000X Marriage & Family Therapist
(Licence: CA  MFC 24183)
106H00000X Marriage & Family Therapist
(Licence: CA  MFC 19749)
106H00000X Marriage & Family Therapist
(Licence: CA  MFC 41302)
106H00000X Marriage & Family Therapist
(Licence: CA  MFC 35861)
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: CA  G64571)
Enumeration Date2006-08-18
Last Update Date2020-08-22
Business Address
COASTAL PSYCHIATRIC MEDICAL ASSOCIATES, INC.
12520 HIGH BLUFF DR SUITE 120
SAN DIEGO, CA 92130-2041
Phone number: 858-405-4423
Mailing Address
COASTAL PSYCHIATRIC MEDICAL ASSOCIATES, INC.
1959 GRAND AVE SUITE A
SAN DIEGO, CA 92109-4511
Phone number: 858-405-4423