Coastal Family Medicine, Inc in Costa Mesa - Sports Medicine
Coastal Family Medicine, Inc - NPI 1558312470
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 1558312470. The last update date is 2023-06-26.
Coastal Family Medicine, Inc's current location address is 660 Baker St Ste A102, Costa Mesa, California. You can contact this provider via phone number 7146682505 and fax number 7146682515. The mailing address for Coastal Family Medicine, Inc is 660 Baker St Ste A102, 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 A102, Costa Mesa, California |
| Phone Number | 7146682505 |
| Fax Number | 7146682515 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Schafer Mark |
| Credentials | MD |
| Telephone Number | 6572413500 |
NPI Number Detail
| NPI Number | 1558312470 |
|---|---|
| Provider Enumeration Date | 2006-05-15 |
| Last Updated Date | 2023-06-26 |
Provider Mailing Address Detail
| Address | 660 Baker St Ste A102 |
|---|---|
| City | Costa Mesa |
| State | California (CA) |
| Post Code | 9262644070 |
| Phone Number | 7146682505 |
| 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 RAIL ROAD GROUP |
Post Comment/ Review Below
What is the Coastal Family Medicine, Inc's 1558312470?
The Coastal Family Medicine, Inc's NPI (National Provider Identifier) Number is 1558312470. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Coastal Family Medicine, Inc's physical address?
The Coastal Family Medicine, Inc is physically located at 660 Baker St Ste A102, in the city of Costa Mesa, CA, with the postal code 9262644070.
What is the Coastal Family Medicine, Inc's specialty and taxonomy code?
The Coastal Family Medicine, Inc's specialty is Sports Medicine, and the corresponding taxonomy code is 207Qs0010X.
On what date did the Centers for Medicare & Medicaid Services assign the 1558312470 to Coastal Family Medicine, Inc?
The Centers for Medicare & Medicaid Services assigned the 1558312470 to Coastal Family Medicine, Inc on 2006-05-15.
When was the Coastal Family Medicine, Inc's information last updated?
The Coastal Family Medicine, Inc's information was last updated on 2023-06-26.