Organization
COASTAL VASCULAR CENTER PC
Active
Other names
Coastal Vascular Center Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY K ALBAUGH D.O. (PRESIDENT)
(805) 983-6233
Entity
Organization
Contact information
Practice address
2841 N VENTURA RD STE 200, OXNARD, CA 93036-2213
(805) 983-6233
(805) 983-2459
Mailing address
1901 OUTLET CENTER DRIVE, SUITE 230, OXNARD, CA 93036-6073
(805) 983-6233
(805) 983-2459
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A40288
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W14567
MEDICARE ID UNSPECIFIED
CA
Enumeration date
06/13/2006
Last updated
08/02/2022
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