Organization
COASTAL SPORTS AND WELLNESS, INC
Active
Other names
Coastal Sports and Wellness Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MICHAEL MARTINEZ M.D. (PRESIDENT)
(858) 678-0300
Entity
Organization
Contact information
Practice address
4010 SORRENTO VALLEY BLVD, SUITE 300, SAN DIEGO, CA 92121-1405
(858) 678-0300
(858) 678-0915
Mailing address
4010 SORRENTO VALLEY BLVD, SUITE 300, SAN DIEGO, CA 92121-1405
(858) 678-0300
(858) 678-0915
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/10/2007
Last updated
08/22/2020
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