Coastal Integrative Medicine
NPI #1164052163 in Laguna Beach, California
Provider Information
- NPI Number
- 1164052163
- Entity Type
- Organization
- Organization Name
- Coastal Integrative Medicine
- Primary Specialty
- Hospice Care, Community Based
- Enumeration Date
- Jan 19, 2020
- Last Updated
- Jan 19, 2020
Practice Location
- Address
- 2400 TEMPLE HILLS DR
- City
- Laguna Beach
- State
- California
- ZIP Code
- 92651-2668
- Phone
- (949) 943-9068
Authorized Official
- Name
- DR. POURYA MIRSAEID MIRSAEID GHAZI, MD
- Title
- PRESIDENT
- Phone
- (949) 943-9068
Specialties & Taxonomy Codes
| Specialty |
|---|
| Hospice Care, Community Based |
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