Coastal Podiatry Clinic

NPI #1336319698 in Pismo Beach, California

Provider Information

NPI Number: 1336319698
Entity Type: Organization
Organization Name: Coastal Podiatry Clinic
Subpart: Yes (part of a larger organization)
Parent Organization: RICHARD NORMAN
Primary Specialty: Podiatrist - Foot Surgery
Enumeration Date: Mar 3, 2008
Last Updated: Jun 21, 2019

Practice Location

Address: 2 JAMES WAY
Address 2: SUITE 205
City: Pismo Beach
State: California
ZIP Code: 93449-4973
Phone: (805) 773-3668

Authorized Official

Name: RICHARD JAY NORMAN, DPM
Title: SOLE PROPRIETOR
Phone: (805) 773-3668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist - Foot Surgery — Foot Surgery	213ES0131X	Primary

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