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Organization

COASTAL A S C LLC

Active
Other names
Coastal A.S.C., LLC
Organization subpart
No

Provider details

NPI number
Authorized official
GINA RENE PARSONS (ADMINISTRATOR)
(916) 296-8419
Entity
Organization

Contact information

Practice address
6221 METROPOLITAN ST STE 102, CARLSBAD, CA 92009-3096
(760) 607-1750
Mailing address
6221 METROPOLITAN ST STE 102, CARLSBAD, CA 92009-3096

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
10/25/2021
Last updated
07/21/2022
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