Coastal Sports And Wellness, Inc in San Diego - Clinic/center
Coastal Sports And Wellness, Inc - NPI 1982727293
Coastal Sports And Wellness, Inc is a Clinic/center in San Diego, California. Coastal Sports And Wellness, Inc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Coastal Sports And Wellness, Inc is 1982727293. The last update date is 2020-08-22.
Coastal Sports And Wellness, Inc's current location address is 4010 Sorrento Valley Blvd, San Diego, California. You can contact this provider via phone number 8586780300 and fax number 8586780915. The mailing address for Coastal Sports And Wellness, Inc is 4010 Sorrento Valley Blvd, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Coastal Sports And Wellness, Inc |
|---|---|
| Address | 4010 Sorrento Valley Blvd, San Diego, California |
| Phone Number | 8586780300 |
| Fax Number | 8586780915 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Martinez Michael John |
| Credentials | M.D. |
| Telephone Number | 8586780300 |
NPI Number Detail
| NPI Number | 1982727293 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4010 Sorrento Valley Blvd |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921211405 |
| Phone Number | 8586780300 |
| Fax Number | 8586780915 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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What is the unique 10-digit identifier code issued to Coastal Sports And Wellness, Inc by the Centers for Medicare & Medicaid Services?
The Coastal Sports And Wellness, Inc has been assigned the NPI (National Provider Identifier) 1982727293 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Coastal Sports And Wellness, Inc?
The Coastal Sports And Wellness, Inc is situated at 4010 Sorrento Valley Blvd, in the city of San Diego, state of CA, with the zip code 921211405.
What is Coastal Sports And Wellness, Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Coastal Sports And Wellness, Inc is Clinic/center, and the taxonomy code that categorizes this field of expertise is 261Q00000X.
On what date was the 1982727293 assigned to Coastal Sports And Wellness, Inc?
The Coastal Sports And Wellness, Inc was issued its 1982727293 on 2007-04-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Coastal Sports And Wellness, Inc most recently updated or revised?
The information pertaining to Coastal Sports And Wellness, Inc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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