# COASTAL WELLNESS MC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coastal Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659160414
- **Authorized official:** KERRY HOFFMAN MFT (PRESIDENT)
- **Authorized official phone:** (805) 415-2441

## Contact information

- **Practice address:** 1317 DEL NORTE RD STE 220A, CAMARILLO, CA 93010-8593
- **Practice address phone:** (805) 415-2441
- **Mailing address:** 44 DUVALI DR, VENTURA, CA 93003-2151
- **Mailing address phone:** (805) 415-2441

## Taxonomy

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

## Other

- **Enumeration date:** 05/06/2025
- **Last updated:** 05/06/2025