Organization
COASTAL MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUNISH K BATRA MD (OWNER)
(858) 847-0800
Entity
Organization
Contact information
Practice address
12264 EL CAMINO REAL, SUITE 101, SAN DIEGO, CA 92130-3058
(858) 847-0800
(858) 724-0450
Mailing address
12264 EL CAMINO REAL, SUITE 101, SAN DIEGO, CA 92130-3058
(858) 847-0800
(858) 724-0450
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
G83246
CA
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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