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NPI Code Detail

MEDICARE: COASTAL GASTROENTEROLOGY, A PROF. CORP.

MEDICARE: COASTAL GASTROENTEROLOGY, A PROF. CORP.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology Physician18081CA

General Provider Information

NPI Number : 1346234333
Entity Type Code : Organization
Provider Name (Legal Business Name) : COASTAL GASTROENTEROLOGY, A PROF. CORP.
Provider Business Mailing Address
First Line : PO BOX 231543
Second Line :
City : ENCINITAS
State : CA
Zip : 92023-1543
Country : US
Telephone Number : 760-783-0441
Fax Number :
Provider Business Practice Location Address
First Line : 700 GARDEN VIEW CT
Second Line : SUITE 102
City : ENCINITAS
State : CA
Zip : 92024-2478
Country : US
Telephone Number : 760-783-0441
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. ROBERT H GOLDKLANG
Credential : M.D.
Telephone Number : 760-783-0441
Provider Enumeration Date : 09/06/2005
Last Update Date : 12/18/2012

Similar Medicare Providers

1346527066 — KATHERINE ANNE MORENO ARNP
Practice Location Address:
700 GARDEN VIEW CT STE 204
ENCINITAS, CA
92024-2478
Practice Phone: 402-844-8284
Practice Fax:
1841463361 — MR. TRAVIS JOHN FITZPATRICK CRNA
Practice Location Address:
700 GARDEN VIEW CT
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92024-2478
Practice Phone: 760-274-2700
Practice Fax:
1275527657 — DR. ROBERT H. GOLDKLANG M.D.
Practice Location Address:
700 GARDEN VIEW CT , SUITE 102
ENCINITAS, CA
92024-2478
Practice Phone: 760-783-0441
Practice Fax: 760-635-5972
1699742536 — MRS. LISA ELLEN UDWIN MA CCC
Practice Location Address:
700 GARDEN VIEW CT , STE 201 A
ENCINITAS, CA
92024-2478
Practice Phone: 760-815-8101
Practice Fax:
1780653832 — MRS. APRIL CHRISTINE KING CRNA
Practice Location Address:
700 GARDEN VIEW CT STE 102
ENCINITAS, CA
92024-2478
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1609821040 — MOHAMMAD B ARBABI MD
Practice Location Address:
700 GARDEN VIEW CT , SUITE 102
ENCINITAS, CA
92024-2478
Practice Phone: 760-436-8881
Practice Fax: 760-544-6128

Directions to “COASTAL GASTROENTEROLOGY, A PROF. CORP. ” Practice Location

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