Coastal Village Primary Care
Coastal Village Primary Care provides Family Medicine Physician services in Pismo Beach, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
2 James Way Ste 209Pismo Beach, CA 93449-4976 Not confirmed with CMS for 15 years — call before visiting
Phone: (805) 773-7440
Fax: (805) 773-7448
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence A49080 (CA) |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X · Licence A70251 (CA) |
Record details
| NPI number | 1992738496 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joseph Cruz — General Partner · (805) 773-7440 |
| NPI enumerated | July 8, 2006 |
| Last updated in NPPES | September 16, 2011 |
| Mailing address | Po Box 428, Grover Beach, CA 93483-0428 |
Other providers in Pismo Beach
-
Mariella Alvarellos, MD
901 Oak Park Blvd Ste 101, Pismo Beach, CA 93449-3408 · (805) 489-2205
-
Arroyo Medical Group, Inc
931 Oak Park Blvd Ste 101, Pismo Beach, CA 93449-3402 · (805) 474-2600
-
Dr. Ethan Jeremy Breen, DO
901 Oak Park Blvd, Pismo Beach, CA 93449-3408 · (805) 489-2205
-
Amanthi Chandrasena, MD
901 Oak Park Blvd Ste 101, Pismo Beach, CA 93449 · (805) 481-2205
-
Coastal Village Primary Care, a Medical Group
2 James Way Ste 209, Pismo Beach, CA 93449-4976 · (805) 773-7440
-
Coastal Village Primary, Inc
2 James Way Ste 209, Pismo Beach, CA 93449-4973 · (805) 773-7440
-
Joseph A. Cruz, MD
2 James Way Ste 209, Pismo Beach, CA 93449-4973 · (805) 773-7440
-
Dr. Amanda Zoe Marie Dillen, DO
877 Oak Park Blvd, Pismo Beach, CA 93449-3292 · (805) 474-8450