Organization
COASTAL SKIN AND EYE INSTITUTE, INC.
Active
Parent organization
COASTAL SKIN & EYE INSTITUTE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
COASTAL SKIN & EYE INSTITUTE, INC.
Authorized official
MS. JEANNENE GRAHAM (PRACTICE MANAGER)
(858) 943-2540
Entity
Organization
Contact information
Practice address
477 N EL CAMINO REAL STE C300, ENCINITAS, CA 92024-1356
(760) 257-5550
(858) 252-2053
Mailing address
5550 CARMEL MOUNTAIN RD STE 206, SAN DIEGO, CA 92130-4861
(858) 943-2540
(858) 252-2053
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
06/07/2019
Last updated
08/13/2025
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