Organization
COASTAL SURGEONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM DAVIS (PRACTICE ADMINISTRATOR)
(760) 724-5352
Entity
Organization
Contact information
Practice address
351 SANTA FE DR, SUITE 220, ENCINITAS, CA 92024-5137
(760) 634-2411
(760) 634-2416
Mailing address
3998 VISTA WAY, SUITE 200, OCEANSIDE, CA 92056-4500
(760) 724-5352
(760) 724-5447
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/12/2007
Last updated
09/04/2008
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