Coast Surgical Group, Amc

LBN: Coast Surgical Group, A Medical Corporation
Coast Surgical Group, Amc is an health care organization with primary practice located at 786 3Rd Ave Suite B, Chula Vista CA 91910-5826. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Coast Surgical Group, A Medical Corporation can be contacted via phone (619) 425-0797, or through Hernandez, Francisco Antonio via phone (619) 425-0797.

Contact Information

Primary practice address
786 3Rd Ave Suite B Chula Vista CA 91910-5826
Fax: (619) 425-0596
Website:
Authorized official contact:
Name: Hernandez, Francisco Antonio Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X California

Profile Details

NPI number 1184723629
LBN Legal business name Coast Surgical Group, A Medical Corporation
DBA Doing business as Coast Surgical Group, Amc
Authorized official Hernandez, Francisco Antonio Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2006
Last updated Apr 7th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184723629 NPPES
California MEDICAID GR0062500

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