Organization
COAST PEDIATRICS CARMEL VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY ANN CONLEY (OFFICE MANAGER)
(858) 794-7337
Entity
Organization
Contact information
Practice address
5965 VILLAGE DRIVE, SUITE 201, SAN DIEGO, CA 92130
(858) 755-7337
(858) 755-7338
Mailing address
5965 VILLAGE DRIVE, SUITE 201, SAN DIEGO, CA 92130
(858) 755-7337
(858) 755-7338
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A55826
CA
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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