Organization
RENEWMD COASTAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON SLOWIK M.D. (PRESIDENT)
(760) 803-2253
Entity
Organization
Contact information
Practice address
6260 EL CAMINO REAL, CARLSBAD, CA 92009-1609
(760) 476-2953
Mailing address
6260 EL CAMINO REAL, CARLSBAD, CA 92009-1609
(760) 476-2953
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G73008
STATE LICENSE NUMBER
CA
Enumeration date
07/22/2015
Last updated
11/26/2019
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