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Organization

COASTAL FAMILY MEDICINE, INC

Active
Other names
Family Care Centers Medical Goup, Family Care Centers (PFM), Pacific Family Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID S KIM MD (PRESIDENT)
(657) 241-3500
Entity
Organization

Contact information

Practice address
1441 AVOCADO AVE STE 503, NEWPORT BEACH, CA 92660-7706
(949) 718-9020
(949) 718-9040
Mailing address
PO BOX 2218, SUISUN CITY, CA 94585-5218
(657) 241-3600
(657) 241-7708

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
261QM1300X
Multi-Specialty Clinic/Center
Primary
363A00000X
Physician Assistant
363LF0000X
Family Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DE5878
MEDICARE RAILROAD
CA
Enumeration date
10/18/2013
Last updated
02/21/2024
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