Organization
COASTLINE RESOURCES, INC
Active
Organization
COASTLINE RESOURCES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK R BELL MD (PRESIDENT)
(310) 698-5452
Entity
Organization
Contact information
Practice address
898 N PACIFIC COAST HWY STE 600, EL SEGUNDO, CA 90245-2747
(310) 698-5452
(310) 379-4856
Mailing address
898 N PACIFIC COAST HWY STE 600, EL SEGUNDO, CA 90245-2747
(310) 698-5452
(310) 379-4856
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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