Organization
COASTAL INTEGRATIVE MEDICINE
Active
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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