| NPI | 1982727293 |
|---|---|
| Doing Business As | COASTAL SPORTS AND WELLNESS MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL MARTINEZ President 858-678-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |