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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