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Coastal Cardiology A Medical Corp
Medical Physician Assistant in San Luis Obispo, California
NPI 1720183569

Coastal Cardiology A Medical Corp is a Medical Physician Assistant based in San Luis Obispo, CA and is specialized in Medical. Coastal Cardiology A Medical Corp practices in San Luis Obispo, CA. The NPI Number for Coastal Cardiology A Medical Corp is 1720183569 and holds a License No. A105051 (California).

The current practice location address for Coastal Cardiology A Medical Corp is 1941 Johnson Ave Ste 101, San Luis Obispo, CA and can be reached out via phone at 805-782-8844 and via fax at 813-613-2634.

Location: 1941 Johnson Ave Ste 101, San Luis Obispo, CA, 93401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720183569
Provider Name
Coastal Cardiology A Medical Corp
Credential
Provider Entity Type
Organization
Address
1941 Johnson Ave Ste 101, San Luis Obispo, CA, 93401
Phone Number
805-782-8844
Fax Number
813-613-2634
Provider Enumeration Date
09/14/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CP1074 01 MEDICARE RR
ZZZ24859Z 01 CA BLUE SHIELD
GR0068680 05 CA
institution
Provider Business Practice Location Address Details
Address
1941 Johnson Ave Ste 101
City
San Luis Obispo
State
California
Zip
93401-4154
Phone Number
805-782-8844
Fax Number
813-613-2634
person
Provider Business Mailing Address Details
Address
1941 Johnson Ave Ste 101
City
San Luis Obispo
State
California
Zip
93401-4154
Phone Number
805-782-8844
Fax Number
813-613-2634
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
A116056 (California)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Clinical Cardiac Electrophysiology
Taxonomy
207RC0001X
License No.
G56853 (California)
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Interventional Cardiology
Taxonomy
207RI0011X
License No.
A54052 (California)
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
A105051 (California)
Definition
Definition to come...
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