Coastal Podiatry INC

NPI #1780386813 in Pismo Beach, California

Provider Information

NPI Number: 1780386813
Entity Type: Organization
Organization Name: Coastal Podiatry INC
Primary Specialty: Podiatrist
Enumeration Date: Mar 21, 2023
Last Updated: Mar 28, 2023

Practice Location

Address: 2 JAMES WAY STE 109
City: Pismo Beach
State: California
ZIP Code: 93449-4974
Phone: (805) 773-3668

Authorized Official

Name: RICHARD JAY NORMAN, DPM
Title: CHIEF EXECUTIVE OFFICER
Phone: (805) 773-3668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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