Coastal Pediatrics Medical Group
NPI #1528193109 in Oxnard, California
Provider Information
- NPI Number
- 1528193109
- Entity Type
- Organization
- Organization Name
- Coastal Pediatrics Medical Group
- Primary Specialty
- Pediatrics - Adolescent Medicine
- Enumeration Date
- Feb 22, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 451 W GONZALES RD
- Address 2
- STE 340
- City
- Oxnard
- State
- California
- ZIP Code
- 93036-9004
- Phone
- (805) 983-3900
Authorized Official
- Name
- MRS. LORI BOHANNAN
- Title
- PRACTICE MANAGER
- Phone
- (805) 983-3900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Adolescent Medicine — Adolescent Medicine |
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