Coastal Sports And Wellness Medical Center

LBN: Coastal Sports And Wellness, Inc
Coastal Sports And Wellness Medical Center is an health care organization with primary practice located at 4010 Sorrento Valley Blvd Suite 300, San Diego CA 92121-1405. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Coastal Sports And Wellness, Inc can be contacted via phone (858) 678-0300, or through Martinez, John Michael via phone (858) 678-0300.

Contact Information

Primary practice address
4010 Sorrento Valley Blvd Suite 300 San Diego CA 92121-1405
Phone: (858) 678-0300
Fax: (858) 678-0915
Website:
Map and Directions
Authorized official contact:
Name: Martinez, John Michael Doctor of Medicine (MD)
Phone: (858) 678-0300

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1982727293
LBN Legal business name Coastal Sports And Wellness, Inc
DBA Doing business as Coastal Sports And Wellness Medical Center
Authorized official Martinez, John Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2007
Last updated Aug 22nd, 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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