National Provider Identifier Database

COASTAL PEDIATRICS MEDICAL GROUP
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

COASTAL PEDIATRICS MEDICAL GROUP
451 W GONZALES RD
STE 340
OXNARD, CA93036-9004
Phone: 805-983-3900
Fax: 805-983-3887
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for COASTAL PEDIATRICS MEDICAL GROUP

NPI Number 1528193109
Legal business name
LBN
COASTAL PEDIATRICS MEDICAL GROUP
Authorized official LORI BOHANNAN - (PRACTICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 02/22/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • CA Medicaid: ZZZ76023Z

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for COASTAL PEDIATRICS MEDICAL GROUP

There are currently no reviews for COASTAL PEDIATRICS MEDICAL GROUP


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