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Organization

COASTAL DIABETES CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CASSIDY ROBINSON BSN-RN, CDCES (OWNER OPERATOR)
(949) 266-4103
Entity
Organization

Contact information

Practice address
486 CONSTITUTION AVE, CAMARILLO, CA 93012-8529
(949) 266-4103
Mailing address
486 CONSTITUTION AVE, CAMARILLO, CA 93012-8529
(949) 266-4103

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Enumeration date
09/30/2025
Last updated
10/09/2025
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