Coastal Village Primary Care in Grover Beach - Internal Medicine
Coastal Village Primary Care - NPI 1992738496
Coastal Village Primary Care is a Internal Medicine in Grover Beach, California. Coastal Village Primary Care practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Coastal Village Primary Care is 1992738496. The last update date is 2011-09-16.
Coastal Village Primary Care's current location address is Po Box 428, Grover Beach, California. You can contact this provider via phone number 8057737440 and fax number 8057737448. The mailing address for Coastal Village Primary Care is Po Box 428, Grover Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Coastal Village Primary Care |
|---|---|
| Address | Po Box 428, Grover Beach, California |
| Phone Number | 8057737440 |
| Fax Number | 8057737448 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | GENERAL PA |
|---|---|
| Authorized Official Name | Cruz A. Joseph |
| Credentials | MD |
| Telephone Number | 8057737440 |
NPI Number Detail
| NPI Number | 1992738496 |
|---|---|
| Provider Enumeration Date | 2006-07-08 |
| Last Updated Date | 2011-09-16 |
Provider Mailing Address Detail
| Address | Po Box 428 |
|---|---|
| City | Grover Beach |
| State | California (CA) |
| Post Code | 934830428 |
| Phone Number | 8057737440 |
| Fax Number | 8057737448 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | A70251 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ06670Z | CA | BLUE SHIELD |
Post Comment/ Review Below
What is the Coastal Village Primary Care's 1992738496?
The Coastal Village Primary Care's NPI (National Provider Identifier) Number is 1992738496. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Coastal Village Primary Care's facilities are situated?
The facilities of Coastal Village Primary Care are physically located at the following address: Po Box 428, Grover Beach, CA, 934830428.
What is the Coastal Village Primary Care's specialty and taxonomy code?
The Coastal Village Primary Care's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
On what date did the Coastal Village Primary Care receive the assignment of its 1992738496 from the Centers for Medicare & Medicaid Services?
The Coastal Village Primary Care was issued its 1992738496 by the Centers for Medicare & Medicaid Services on 2006-07-08.
When was the information pertaining to Coastal Village Primary Care most recently updated or revised?
The details related to Coastal Village Primary Care, including its address, specialty, and other relevant information, were last updated or revised on 2011-09-16.
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