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Organization
COASTAL EYE ASSOCIATES, A MEDICAL CORPORATION
Active
Organization
COASTAL EYE ASSOCIATES, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONRAD K HAMAKO MD (PRESIDENT)
(831) 728-2020
Entity
Organization
Contact information
Practice address
160 GREEN VALLEY RD, SUITE 202, FREEDOM, CA 95019-3160
(831) 728-2020
(831) 728-4739
Mailing address
160 GREEN VALLEY RD, SUITE 202, FREEDOM, CA 95019-3160
(831) 728-2020
(831) 728-4739
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
FNP24052
CA
Other
Enumeration date
02/02/2007
Last updated
07/28/2014
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