Organization
COASTAL PHYSICIANS MEDICAL GROUP
Active
Other names
Coastal Physicians Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS G MAGDALENO M.D. (CEO)
(310) 832-4225
Entity
Organization
Contact information
Practice address
824 E CARSON ST STE 101, CARSON, CA 90745-2262
(310) 233-3202
(310) 233-3208
Mailing address
824 E CARSON ST STE 101, CARSON, CA 90745-2262
(310) 233-3202
(310) 233-3208
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/14/2007
Last updated
11/15/2007
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