NPI Code Detail JSON Logo

1346831187 NPI number — COASTALMED MEDICAL SERVICES, LLC.

NPI Number: 1346831187
Health Care Provider/Practitioner: COASTALMED MEDICAL SERVICES, LLC.

Information about “1346831187” NPI (COASTALMED MEDICAL SERVICES, LLC.) exists in 1346831187 in HTML format HTML  |  1346831187 in plain Text format TXT  |  1346831187 in PDF (Portable Document Format) PDF  |  1346831187 in an XML format XML  formats.

NPI Number : 1346831187 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346831187",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "COASTALMED MEDICAL SERVICES, LLC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "74998 COUNTRY CLUB DR STE 220-510",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PALM DESERT",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92260-1970",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "951-393-8647",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "74998 COUNTRY CLUB DR STE 220-510",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PALM DESERT",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92260-1970",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "951-393-8647",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/02/2021",
    "LastUpdateDate": "02/03/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CALDWELL",
    "AuthorizedOfficialFirstName": "ROBERT",
    "AuthorizedOfficialMiddleName": "ALLEN",
    "AuthorizedOfficialTitle": "PARTNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "951-393-8647",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "3416L0300X",
        "TaxonomyName": "Land Ambulance",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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