Coastal Family Medicine, Inc in Costa Mesa - Sports Medicine
Coastal Family Medicine, Inc - NPI 1275584120
Coastal Family Medicine, Inc is a Sports Medicine in Costa Mesa, California. Coastal Family Medicine, Inc practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Coastal Family Medicine, Inc is 1275584120. The last update date is 2023-06-22.
Coastal Family Medicine, Inc's current location address is 660 Baker St Ste A101, Costa Mesa, California. You can contact this provider via phone number 7146682500 and fax number 7146682515. The mailing address for Coastal Family Medicine, Inc is 660 Baker St Ste A101, Costa Mesa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Coastal Family Medicine, Inc |
|---|---|
| Address | 660 Baker St Ste A101, Costa Mesa, California |
| Phone Number | 7146682500 |
| Fax Number | 7146682515 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Schafer D Mark |
| Credentials | MD |
| Telephone Number | 6572413500 |
NPI Number Detail
| NPI Number | 1275584120 |
|---|---|
| Provider Enumeration Date | 2006-05-15 |
| Last Updated Date | 2023-06-22 |
Provider Mailing Address Detail
| Address | 660 Baker St Ste A101 |
|---|---|
| City | Costa Mesa |
| State | California (CA) |
| Post Code | 9262644070 |
| Phone Number | 7146682500 |
| Fax Number | 7146682515 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DE5878 | CA | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Coastal Family Medicine, Inc?
The Coastal Family Medicine, Inc has been issued the NPI (National Provider Identifier) 1275584120 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
What is Coastal Family Medicine, Inc's area of expertise and its corresponding taxonomy classification?
The Coastal Family Medicine, Inc's field of specialization is Sports Medicine, and it falls under the taxonomy code 207Qs0010X, which categorizes healthcare providers based on their areas of practice.
When did Coastal Family Medicine, Inc receive its 1275584120 assignment?
The Coastal Family Medicine, Inc was assigned its 1275584120 on 2006-05-15, which is the date when this unique identifier was issued to the organization.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1275584120 to Coastal Family Medicine, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1275584120 to Coastal Family Medicine, Inc on 2006-05-15.
As of what date were the details pertaining to Coastal Family Medicine, Inc last refreshed?
The information related to the Coastal Family Medicine, Inc, including its address, specialty, and other relevant details, was last updated on 2023-06-22.