Organization
DR KAZI CLINIC INC
Active
Other names
Coastal Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAZI REZAI D.O. (OWNER)
(805) 314-5542
Entity
Organization
Contact information
Practice address
18672 FLORIDA ST, 302-B, HUNTINGTON BEACH, CA 92648-1925
(805) 314-5542
(805) 466-4229
Mailing address
18672 FLORIDA ST, 302-B, HUNTINGTON BEACH, CA 92648-1925
(805) 314-5542
(805) 466-4229
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
20A12157
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386962686
INDIVIDUAL NPI NUMBER
CA
Enumeration date
02/14/2017
Last updated
02/14/2017
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