# COASTAL PHYSICAL MEDICINE AND REHABILITATION INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184208001
- **Authorized official:** JIHAD JAFFER MD (PRESIDENT)
- **Authorized official phone:** (760) 906-3072

## Contact information

- **Practice address:** 354 SANTA FE DR, ENCINITAS, CA 92024-5142
- **Practice address phone:** (760) 906-3072
- **Practice address fax:** (877) 986-6999
- **Mailing address:** 270 N EL CAMINO REAL \# F-512, ENCINITAS, CA 92024-2874
- **Mailing address phone:** (951) 315-8689
- **Mailing address fax:** (877) 986-6999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/06/2021
- **Last updated:** 05/04/2023