Organization
COASTAL ENT MEDICAL GROUP INC
Active
Other names
Coastal ENT Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM S. HALSEY MD (PRESIDENT)
(858) 458-1287
Entity
Organization
Contact information
Practice address
9834 GENESEE AVE, SUITE 416, LA JOLLA, CA 92037-1223
(858) 457-1287
(858) 452-9160
Mailing address
9834 GENESEE AVE, SUITE 416, LA JOLLA, CA 92037-1223
(858) 457-1287
(858) 452-9160
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
G30707
CA
Other
Enumeration date
10/16/2006
Last updated
11/25/2012
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