Coastal Medical, INC.

Practice location

Address

761 Park Ave, Cranston, RI 02910-2137

Phone

(401) 467-3460

Mailing address

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

Authorised official

Name

Kenny Heine

Title

Director of Operations

Phone

(858) 625-2990

Registered specialties

Registry record

NPI

1184767022

Entity type

Organization

NPI issued

14 Feb 2007

Record last updated

17 Oct 2012

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.