Organization
COAST NEUROSURGICAL ASSOCIATES A MEDICAL GROUP
Active
Organization
COAST NEUROSURGICAL ASSOCIATES A MEDICAL GROUP
Active
Other names
Coast Neurosurgical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLLE KRISTINE GARNICA (ADMINISTRATOR)
(562) 424-3924
Entity
Organization
Contact information
Practice address
2888 LONG BEACH BLVD STE 240, LONG BEACH, CA 90806-1570
(562) 595-7696
(562) 988-1559
Mailing address
2888 LONG BEACH BLVD STE 240, LONG BEACH, CA 90806-1570
(562) 595-7696
(562) 988-1559
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053406454
—
CA
Enumeration date
10/03/2006
Last updated
09/12/2022
Update your record
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