Organization
COASTAL PACIFIC DERMATOLOGY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEILA MEENA KRISHNA MD (PRESIDENT)
(562) 712-0775
Entity
Organization
Contact information
Practice address
345 SAXONY RD STE 201, ENCINITAS, CA 92024-2787
(619) 630-0367
Mailing address
13604 BOQUITA DR, DEL MAR, CA 92014-3408
(562) 712-0775
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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