Organization
COASTAL SURGEONS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLI DAVIS (OFFICE MANAGER)
(760) 724-5352
Entity
Organization
Contact information
Practice address
3998 VISTA WAY, SUITE 200, OCEANSIDE, CA 92056-4500
(760) 724-5352
Mailing address
3998 VISTA WAY, SUITE 200, OCEANSIDE, CA 92056-4500
(760) 724-5352
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
06/03/2006
Last updated
08/22/2020
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