Organization
COASTAL ADDICTION PROFESSIONALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIPU KHAN MD (OWNER)
(805) 652-6228
Entity
Organization
Contact information
Practice address
1600 N ROSE AVE, OXNARD, CA 93030-3722
(602) 844-4855
Mailing address
300 HILLMONT AVE BLVD., 340-120, VENTRUA, CA 93003
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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