Organization
COASTAL INTEGRATIVE MEDICINE
Active
Other names
COASTAL INTEGRATIVE HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
DR. POURYA MIRSAEID MIRSAEID GHAZI MD (PRESIDENT)
(949) 943-9068
Entity
Organization
Contact information
Practice address
2400 TEMPLE HILLS DR, LAGUNA BEACH, CA 92651-2668
(949) 943-9068
Mailing address
2400 TEMPLE HILLS DR, LAGUNA BEACH, CA 92651-2668
(949) 943-9068
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
01/19/2020
Last updated
01/19/2020
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