Coastal Medical, INC.

Practice location

Address

400 Reservoir Ave, Providence, RI 02907-3565

Phone

(401) 781-2400

Mailing address

5626 Oberlin Dr Suite 110, San Diego, CA 92121-1705

Authorised official

Name

Kenny Heine

Title

Vp of Operations

Phone

(858) 625-2990

Registered specialties

Registry record

NPI

1073655379

Entity type

Organization

NPI issued

13 Feb 2007

Record last updated

7 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.