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
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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