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General NPI Number Information
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NPI Number | 1295892875
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Entity Type | Organization
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Legal Business Name | COAST INTERNAL MEDICAL ASSOCIATES
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10861 CHERRY STREET SUITE 301
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-5403
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Country | US
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Telephone | 562-431-3535
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Fax | 562-431-6707
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Provider Business Mailing Address
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Address Line | 10861 CHERRY STREET SUITE 301
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-5403
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Country | US
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Telephone | 562-431-3535
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Fax | 562-431-3535
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | MICHELLE ANNE RYAN
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Credential | MD
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Telephone | 562-431-3535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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