Organization
COASTAL HOSPITALIST MEDICAL ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA FALL (MANAGER)
(253) 682-6040
Entity
Organization
Contact information
Practice address
4002 VISTA WAY, OCEANSIDE, CA 92056-4506
(760) 439-6581
(760) 769-6585
Mailing address
5050 AVENIDA ENCINAS, SUITE 230, CARLSBAD, CA 92008-4381
(760) 439-6581
(760) 439-6585
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0098700
—
CA
Enumeration date
10/17/2005
Last updated
03/07/2025
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