# COASTAL SURGICAL PHYSICIAN-ASSISTANT PARTNERS

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

## Provider details

- **NPI number:** 1548635915
- **Authorized official:** CHRISTOPHER N CRESPO (SECRETARY)
- **Authorized official phone:** (619) 549-3284

## Contact information

- **Practice address:** 300 CARLSBAD VILLAGE DR, SUITE 108A \#395, CARLSBAD, CA 92008-2900
- **Practice address phone:** (619) 549-3284
- **Practice address fax:** (760) 637-5440
- **Mailing address:** 300 CARLSBAD VILLAGE DR, SUITE 108A \#395, CARLSBAD, CA 92008-2900
- **Mailing address phone:** (619) 549-3284
- **Mailing address fax:** (760) 637-5440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 20A10547 | CA | Yes |

## Other

- **Enumeration date:** 12/10/2015
- **Last updated:** 01/10/2023