Coastal Podiatry Clinic
LBN: Coastal Podiatry Clinic
Coastal Podiatry Clinic is an health care organization with primary practice located at 2 James Way Suite 205, Pismo Beach CA 93449-4973. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as the primary health care specialty.
Coastal Podiatry Clinic can be contacted via phone (805) 773-3668, or through Norman, Richard Jay via phone (805) 773-3668.
Contact Information
Primary practice address
2 James Way Suite 205
Pismo Beach CA 93449-4973
Phone: (805) 773-3668
Fax: (805) 773-1043
Website:
Authorized official contact:
Name: Norman, Richard Jay Doctor of Podiatric Medicine (DPM)
Phone: (805) 773-3668
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | E4306 | California |
Profile Details
| NPI number | 1336319698 |
|---|---|
| LBN Legal business name | Coastal Podiatry Clinic |
| DBA Doing business as | Coastal Podiatry Clinic |
| Authorized official | Norman, Richard Jay Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Mar 3rd, 2008 |
| Last updated | Jun 21st, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336319698 | NPPES |
| California | Other | E4306 | BOARD OF PODIATRIC MEDICINE LICENSE |
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