Organization · Type 2 NPI

Coastal Cardiology A Medical Corp

Cardiovascular Disease Physician · Arroyo Grande, CA

NPI number 1578725495 Active

Practice location

310 South Halcyon Road Ste 105
Arroyo Grande, CA 93420-3872

Fax (813) 613-2632

Mailing address

PO Box 12003
San Luis Obispo, CA 93406-2003

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000XNone listed
Interventional Cardiology Physician 207RI0011XA114658 (CA)
Medical Physician Assistant 363AM0700XPA23186 (CA)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1578725495

Coastal Cardiology A Medical Corp's National Provider Identifier is 1578725495, issued on Jul 1, 2008. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Arroyo Grande, CA. The record was last updated on Sep 9, 2025.