Coastal Prestige Medical Services, Inc

LBN: Coastal Prestige Medical Services, Inc
Coastal Prestige Medical Services, Inc is an health care organization with primary practice located at 1677 Shell Beach Rd , Shell Beach CA 93449-1927. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Coastal Prestige Medical Services, Inc can be contacted via phone (805) 201-9135, or through Ham, Johnnie Alan via phone (805) 201-9135.

Contact Information

Primary practice address
1677 Shell Beach Rd Shell Beach CA 93449-1927
Phone: (805) 201-9135
Fax: (805) 201-9134
Website:
Map and Directions
Authorized official contact:
Name: Ham, Johnnie Alan Doctor of Medicine (MD)
Phone: (805) 201-9135

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X A90443 California

Profile Details

NPI number 1518101989
LBN Legal business name Coastal Prestige Medical Services, Inc
DBA Doing business as
Authorized official Ham, Johnnie Alan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2009
Last updated Mar 12th, 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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