Coast Family Practice
NPI #1902022890 in Santa Maria, California
Provider Information
- NPI Number
- 1902022890
- Entity Type
- Organization
- Organization Name
- Coast Family Practice
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Apr 18, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 607 PLAZA DR
- Address 2
- SUITE C201
- City
- Santa Maria
- State
- California
- ZIP Code
- 93454-6944
- Phone
- (805) 928-3636
Authorized Official
- Name
- ROXANA MATA, P.A-C
- Title
- PHYSICIAN ASSISTANT
- Phone
- (805) 928-3636
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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