# COASTAL CONCIERGE PHYSICIANS

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

## Provider details

- **NPI number:** 1578486338
- **Authorized official:** DR. MICHAEL HOLMAN MD (PRESIDENT)
- **Authorized official phone:** (619) 762-4991

## Contact information

- **Practice address:** 917 A AVE, CORONADO, CA 92118-2628
- **Practice address phone:** (619) 675-9502
- **Practice address fax:** (619) 566-4943
- **Mailing address:** 917 A AVE, CORONADO, CA 92118-2628
- **Mailing address phone:** (619) 675-9502
- **Mailing address fax:** (619) 566-4943

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/30/2026
- **Last updated:** 07/30/2026