Coastal Cardiology A Medical Corp

LBN: Coastal Cardiology A Medical Corp
Coastal Cardiology A Medical Corp is an health care organization with primary practice located at 1941 Johnson Ave Ste 102 , San Luis Obispo CA 93401-4154. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Nuclear Medicine. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty. Coastal Cardiology A Medical Corp can be contacted via phone (805) 782-8844, or through Goss, Melissa L via phone (805) 782-8844.

Contact Information

Primary practice address
1941 Johnson Ave Ste 102 San Luis Obispo CA 93401-4154
Phone: (805) 782-8844
Fax: (813) 613-2633
Website:
Map and Directions
Authorized official contact:
Name: Goss, Melissa L MHA
Phone: (805) 782-8844

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A105051 California
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A99253 California
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A54052 California
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X G56853 California
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A116056 California
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X G44009 California
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X C128646 California
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X A114658 California
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X A63687 California
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X G54180 California
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X G29696 California
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X G69997 California
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X

Profile Details

NPI number 1962664888
LBN Legal business name Coastal Cardiology A Medical Corp
DBA Doing business as
Authorized official Goss, Melissa L MHA
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2008
Last updated Jul 9th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962664888 NPPES
California MEDICAID GR000068680
California Other CP1074
California Other ZZZ28458Z

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