Coastal Village Primary Care
NPI #1992738496 in Pismo Beach, California
Provider Information
- NPI Number
- 1992738496
- Entity Type
- Organization
- Organization Name
- Coastal Village Primary Care
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 8, 2006
- Last Updated
- Sep 16, 2011
Practice Location
- Address
- 2 JAMES WAY
- Address 2
- SUITE 209
- City
- Pismo Beach
- State
- California
- ZIP Code
- 93449-4976
- Phone
- (805) 773-7440
Authorized Official
- Name
- JOSEPH A. CRUZ, MD
- Title
- GENERAL PARTNER
- Phone
- (805) 773-7440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Family Medicine |
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