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Organization

COAST PEDIATRICS 4S

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LORI TAYLOR MD (PRACTICE CO-OWNER)
(858) 794-7337
Entity
Organization

Contact information

Practice address
17085 CAMINO SAN BERNARDO, SAN DIEGO, CA 92127-5709
(858) 794-7337
(858) 794-7338
Mailing address
12845 POINTE DEL MAR WAY STE 200, DEL MAR, CA 92014-3862
(858) 794-7337
(858) 794-7338

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
12/10/2021
Last updated
12/10/2021
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