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Organization
PACIFIC COASTAL MEDICAL GROUP PROFESSIONAL CORPORATION
Active
Organization
PACIFIC COASTAL MEDICAL GROUP PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA OLIVER MD (OWNER)
(760) 290-4309
Entity
Organization
Contact information
Practice address
960 W SAN MARCOS BLVD STE 210, SAN MARCOS, CA 92078-1147
(760) 290-4309
Mailing address
2604B EL CAMINO REAL UNIT 340, CARLSBAD, CA 92008-1214
(760) 290-4309
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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