Coastal Prestige Clinic

LBN: Coastal Prestige Clinic
Coastal Prestige Clinic is an health care organization with primary practice located at 1677 Shell Beach Rd , Shell Beach CA 93449-1927. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Family, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is the primary health care specialty. Coastal Prestige Clinic can be contacted via phone (805) 416-2263, or through Ham, Johnnie via phone (805) 416-2263.

Contact Information

Primary practice address
1677 Shell Beach Rd Shell Beach CA 93449-1927
Phone: (805) 416-2263
Fax: (805) 201-9134
Website:
Map and Directions
Authorized official contact:
Name: Ham, Johnnie Doctor of Medicine (MD)
Phone: (805) 416-2263

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Family 103TF0000X
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1487254413
LBN Legal business name Coastal Prestige Clinic
DBA Doing business as
Authorized official Ham, Johnnie Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2020
Last updated Oct 28th, 2020 - about 4 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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