Organization
COASTAL PACIFIC ANESTHESIA
Active
Organization
COASTAL PACIFIC ANESTHESIA
Active
Other names
California Coast Children's Dental Surgery Center Inc
Organization subpart
No
Provider details
NPI number
Authorized official
ROMEL CASTRO DNAP, CRNA (MANAGER)
(775) 747-5050
Entity
Organization
Contact information
Practice address
816 E ENOS DR STE B, SANTA MARIA, CA 93454-8205
(775) 747-5050
Mailing address
2950 BROAD ST UNIT 1121, SAN LUIS OBISPO, CA 93401-6702
(775) 747-5050
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
10/19/2023
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