Healthcare Provider Details

I. General information

NPI: 1982526067
Provider Name (Legal Business Name): COASTAL RHEUMATOLOGY CENTER APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2925 SYCAMORE DR STE 302B
SIMI VALLEY CA
93065-1209
US

IV. Provider business mailing address

2925 SYCAMORE DR STE 302B
SIMI VALLEY CA
93065-1209
US

V. Phone/Fax

Practice location:
  • Phone: 805-694-9680
  • Fax: 805-694-9642
Mailing address:
  • Phone: 805-694-9680
  • Fax: 805-694-9642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HAMAYON BABARY
Title or Position: OWNER
Credential:
Phone: 805-694-9680