Organization
COAST RADIOLOGY MEDICAL ASSOCIATES A CALIFORNIA GENERAL PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ASHELY MD (PARTNER)
(805) 473-7676
Entity
Organization
Contact information
Practice address
345 S HALCYON RD, ARROYO GRANDE, CA 93420-3896
(805) 434-4989
(805) 434-0721
Mailing address
PO BOX 1507, TEMPLETON, CA 93465-1507
(805) 434-4989
(805) 434-0721
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0044610
—
CA
01
—
ZZZ24146Z
BLUE SHIELD GRP ID
CA
Enumeration date
01/31/2007
Last updated
08/21/2013
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