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Organization
COASTAL ENT MEDICAL GROUP INC
Active
Organization
COASTAL ENT MEDICAL GROUP INC
Active
Other names
Coastal ENT Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM S. HALSEY MD (PRESIDENT)
(858) 458-1287
Entity
Organization
Contact information
Practice address
9834 GENESEE AVE, SUITE 416, LA JOLLA, CA 92037-1223
(858) 457-1287
(858) 452-9160
Mailing address
9834 GENESEE AVE, SUITE 416, LA JOLLA, CA 92037-1223
(858) 457-1287
(858) 452-9160
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
G30707
CA
Other
Enumeration date
10/16/2006
Last updated
11/25/2012
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