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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 Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for COASTAL PEDIATRICS MEDICAL GROUP

NPI # 1528193109
LBN Legal business name COASTAL PEDIATRICS MEDICAL GROUP
Authorized official LORI BOHANNAN - (PRACTICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/22/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
CA Medicaid ZZZ76023Z
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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