Coastal Village Primary, Inc

LBN: Coastal Village Primary, Inc
Coastal Village Primary, Inc is an health care organization with primary practice located at 2 James Way Suite 209, Pismo Beach CA 93449-4973. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Coastal Village Primary, Inc can be contacted via phone (805) 773-7440, or through Cruz, Joseph A via phone (805) 773-7440.

Contact Information

Primary practice address
2 James Way Suite 209 Pismo Beach CA 93449-4973
Phone: (805) 773-7440
Fax: (805) 773-7448
Website:
Map and Directions
Authorized official contact:
Name: Cruz, Joseph A Doctor of Medicine (MD)
Phone: (805) 773-7440

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A49080 California

Profile Details

NPI number 1396080511
LBN Legal business name Coastal Village Primary, Inc
DBA Doing business as
Authorized official Cruz, Joseph A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2012
Last updated Nov 28th, 2012 - about 13 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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