Coastal Ent Medical Group INC

NPI #1568542256 in La Jolla, California

Provider Information

NPI Number
1568542256
Entity Type
Organization
Organization Name
Coastal Ent Medical Group INC
Primary Specialty
Otolaryngology - Otolaryngology/Facial Plastic Surgery
Enumeration Date
Oct 16, 2006
Last Updated
Nov 25, 2012

Practice Location

Address
9834 GENESEE AVE
Address 2
SUITE 416
ZIP Code
92037-1223
Phone
(858) 457-1287

Authorized Official

Name
DR. WILLIAM S. HALSEY, MD
Title
PRESIDENT
Phone
(858) 458-1287

Specialties & Taxonomy Codes

Specialty
Otolaryngology - Otolaryngology/Facial Plastic SurgeryOtolaryngology/Facial Plastic Surgery

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