Organization · Type 2 NPI
Coastal Cardiology A Medical Corp
Cardiovascular Disease Physician · Templeton, CA
NPI number
1689836504
Active
Practice location
295 Posada Lane Suite A
Templeton, CA 93465-4055
Fax (813) 613-2635
Mailing address
PO Box 12003
San Luis Obispo, CA 93406-2003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Cardiovascular Disease Physician Primary | 207RC0000X | G44009 (CA) |
| Interventional Cardiology Physician | 207RI0011X | G69997 (CA) |
| Medical Physician Assistant | 363AM0700X | PA23186 (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.
About NPI 1689836504
Coastal Cardiology A Medical Corp's National Provider Identifier is 1689836504, issued on Jul 1, 2008. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Templeton, CA. The record was last updated on Sep 9, 2025.