Organization · Type 2 NPI

Coastal Cardiology A Medical Corp

Cardiovascular Disease Physician · San Luis Obispo, CA

NPI number 1720183569 Active

Practice location

1941 Johnson Ave Ste 101
San Luis Obispo, CA 93401-4154

Call (805) 782-8844 Map

Fax (813) 613-2634

Mailing address

PO Box 12003
San Luis Obispo, CA 93406-2003

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000XNone listed
Interventional Cardiology Physician 207RI0011XA63687 (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.

16 other providers at this address

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About NPI 1720183569

Coastal Cardiology A Medical Corp's National Provider Identifier is 1720183569, issued on Sep 14, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Sep 9, 2025.