| NPI | 1902805179 |
|---|---|
| Doing Business As | COASTLINE EMERGENCY PHYSICIAN'S MEDICAL GROUP, INC. |
| Entity Type | Organization |
| Authorized Contact | RONALD J. MACCORMICK President 760-230-2251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 18530) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2015-04-09 |