1275165979 NPI number — COASTAL REGENERATIVE ORTHOPEDICS & WELLNESS CENTER INC.

Table of content: (NPI 1275165979)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275165979 NPI number — COASTAL REGENERATIVE ORTHOPEDICS & WELLNESS CENTER INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COASTAL REGENERATIVE ORTHOPEDICS & WELLNESS CENTER INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
COASTAL REGENERATIVE ORTHOPEDICS & WELLNESS CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275165979
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/11/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11772 SORRENTO VALLEY RD STE 100
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN DIEGO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92121-1016
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
858-221-4229
Provider Business Mailing Address Fax Number:
858-345-4828

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11772 SORRENTO VALLEY RD STE 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92121-1016
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-221-4229
Provider Business Practice Location Address Fax Number:
858-345-4828
Provider Enumeration Date:
02/10/2020

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MARX
Authorized Official First Name:
VICTORIA
Authorized Official Middle Name:
Authorized Official Title or Position:
BILLER
Authorized Official Telephone Number:
714-308-4995

Provider Taxonomy Codes

  • Taxonomy code: 2081S0010X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)