Coastal Prestige Medical Services, Inc

Organization Primary Care Clinic/Center · NPI 1518101989

Coastal Prestige Medical Services, Inc is a Primary Care Clinic/Center in Shell Beach, California. Licensed in California. Registered with an NPI since 2009.

Licensed in: CA
In the registry since: 2009

What do these letters mean?

Inc — Incorporated: A form of business registration, not a clinical qualification.

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Practice location Address checks out

1677 Shell Beach Rd
Shell Beach, CA 93449-1927
Phone: (805) 201-9135
Fax: (805) 201-9134

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary)	Taxonomy 261QP2300X · Licence A90443 (CA)

Record details

NPI number	1518101989
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Johnnie Ham — Ceo · (805) 201-9135
NPI enumerated	April 28, 2009
Last updated in NPPES	March 12, 2020
Certification date	March 12, 2020
Mailing address	1677 Shell Beach Rd, Shell Beach, CA 93449-1927