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Contact Information

COASTAL REGENERATIVE ORTHOPEDICS & WELLNESS CENTER INC.
11772 SORRENTO VALLEY RD STE 100
SAN DIEGO, CA92121-1016
 Phone: 858-221-4229
 Fax: 858-345-4828
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for COASTAL REGENERATIVE ORTHOPEDICS & WELLNESS CENTER INC.

NPI Number 1275165979
LBN Legal business name COASTAL REGENERATIVE ORTHOPEDICS & WELLNESS CENTER INC.
Authorized official VICTORIA MARX - (BILLER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/10/2020
Last updated 02/11/2020 - About 6 years ago
Identifiers n/a
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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