Organization
COASTAL DIAGNOSTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL FRANCISCO ROMERO SR. (CEO)
(619) 517-8205
Entity
Organization
Contact information
Practice address
9590 CHESAPEAKE DR, SUITE 2, SAN DIEGO, CA 92123-1374
(619) 324-7333
Mailing address
9590 CHESAPEAKE DR, SUITE 2, SAN DIEGO, CA 92123-1374
(619) 324-7333
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
FAC 73365
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C3693543
BUSINESS ENTITY NUMBER
CA
Enumeration date
04/10/2015
Last updated
04/22/2015
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