Organization
PRIMARY CARE ASSOCIATED MEDICAL GROUP, INC
Active
Other names
Coastal Orthopaedics & Sports Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANNETTE BRODY (BILLING MANAGER)
(760) 724-1033
Entity
Organization
Contact information
Practice address
477 N EL CAMINO REAL, SUITE D-300, ENCINITAS, CA 92024-1328
(760) 632-1016
Mailing address
3998 VISTA WAY, SUITE B, OCEANSIDE, CA 92056-4500
(760) 724-1033
(760) 724-9528
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A47884
CA
207X00000X
Orthopaedic Surgery Physician
A68137
CA
207X00000X
Orthopaedic Surgery Physician
Primary
A70831
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
E4564
CA
363A00000X
Physician Assistant
PA17120
CA
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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