Organization
COASTAL ORTHOPEDIC & SPINE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE BRADY DO (PRESIDENT)
(313) 580-5495
Entity
Organization
Contact information
Practice address
400 CAMARILLO RANCH RD STE 101, CAMARILLO, CA 93012-5901
(805) 273-5478
Mailing address
400 CAMARILLO RANCH RD STE 101, CAMARILLO, CA 93012-5901
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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