Coastal Village Primary Care, a Medical Group
NPI #1053742528 in Pismo Beach, California
Provider Information
- NPI Number
- 1053742528
- Entity Type
- Organization
- Organization Name
- Coastal Village Primary Care, a Medical Group
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 9, 2013
- Last Updated
- Dec 9, 2013
Practice Location
- Address
- 2 JAMES WAY
- Address 2
- STE 209
- City
- Pismo Beach
- State
- California
- ZIP Code
- 93449-4976
- Phone
- (805) 773-7440
Authorized Official
- Name
- DR. JOSEPH A CRUZ, M.D.
- Title
- PRESIDENT/MD
- Phone
- (805) 773-7440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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