# COASTAL ADDICTION PROFESSIONALS

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

## Provider details

- **NPI number:** 1386354280
- **Authorized official:** TIPU KHAN MD (OWNER)
- **Authorized official phone:** (805) 652-6228

## Contact information

- **Practice address:** 1600 N ROSE AVE, OXNARD, CA 93030-3722
- **Practice address phone:** (602) 844-4855
- **Mailing address:** 300 HILLMONT AVE BLVD., 340-120, VENTRUA, CA 93003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/01/2022
- **Last updated:** 12/01/2022