Organization
COASTAL PODIATRY INC
Active
Other names
Coastal Podiatry Inc
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD JAY NORMAN DPM (CHIEF EXECUTIVE OFFICER)
(805) 773-3668
Entity
Organization
Contact information
Practice address
2 JAMES WAY STE 109, PISMO BEACH, CA 93449-4974
(805) 773-3668
(805) 773-1043
Mailing address
2 JAMES WAY STE 109, PISMO BEACH, CA 93449-4974
(805) 773-3668
(805) 773-1043
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
03/28/2023
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