Organization · Type 2 NPI

Coastal Village Primary Care

Family Medicine Physician · Pismo Beach, CA

NPI number 1992738496 Active

Practice location

2 James Way, Suite 209
Pismo Beach, CA 93449-4976

Fax (805) 773-7448

Mailing address

PO Box 428
Grover Beach, CA 93483-0428

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XA49080 (CA)
Internal Medicine Physician 207R00000XA70251 (CA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

15 other providers at this address

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About NPI 1992738496

Coastal Village Primary Care's National Provider Identifier is 1992738496, issued on Jul 8, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Pismo Beach, CA. The record was last updated on Sep 16, 2011.