COASTAL HEALTH LASER AESTHETICS (NPI# 1992977482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992977482 |
Entity Type | Organization |
Organization Name | COASTAL HEALTH LASER AESTHETICS |
Other Organization Name | A NU ME |
Practice Address |
501 W Channel Islands Blvd Suite 302 Port Hueneme CA 93041-2126 |
Practice Telephone | 8058154400 |
Practice Fax Number | 8058154848 |
Mailing Telephone | 8058154400 |
Mailing Fax Number | 8058154848 |
Enumeration Date | 2008-03-25 |
Last Update Date | 2008-03-25 |
Authorized Official Name | DEBRA LYNN SANDERSON (OPERATION MANAGER) |
Authorized Official Telephone | 8056444809 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | A26431 | CA | Other Service Providers |
Other Name | Type Code |
---|---|
A NU ME | Doing Business As Name - Organization |
Street Address |
501 W CHANNEL ISLANDS BLVD SUITE 302 |
City | PORT HUENEME |
State | CA |
Zip Code | 93041-2126 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629592605 | Andrew Guilmond Nadeau | Military Health Care Provider | 1183 North Ventura Road, Port Hueneme, CA 93041 | 2017-08-01 |
1861861221 | Norma Martinez | Non-emergency Medical Transport (VAN) | 160 Sixth Place, Port Hueneme, CA 93041 | 2015-09-16 |
1962813733 | Olga Gutierrez Core | Pharmacist | 248 E Scott St, Port Hueneme, CA 93041 | 2014-05-15 |
1659796647 | Michael George Abasta | Chore Provider | 1534 5th Street, Port Hueneme, CA 93041 | 2014-02-27 |
1669610770 | Dianna Castro | Counselor | 1634 6th Street, Port Hueneme, CA 93041 | 2009-01-27 |
1427266931 | Brian Michael Strahl | Military Health Care Provider | 5 Nmcb 5 Street, Port Hueneme, CA 93041 | 2007-05-18 |
1518094291 | Alireza Sharifzadeh Dds Inc | Dentist | 460 E Pleasant Valley Rd, #b, Port Hueneme, CA 93041 | 2007-02-28 |
1306991807 | Dennis L Tank Dds PC | Dentist | 475 W Channel Islands Blvd, 203, Port Hueneme, CA 93041 | 2007-01-24 |
1538224001 | Tri Duc Duong | Dentist | 329 E Hueneme Rd, Port Hueneme, CA 93041 | 2006-12-26 |
1891857967 | Darryl William Priest | Dentist | 501 West Channel Islands Blvd, Suite 205, Port Hueneme, CA 93041 | 2006-12-15 |
Find all providers in zip 93041 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942234299 | Eugene Soroka Md Inc | Specialist | 246 E Scott Street, Port Hueneme, CA 93041-2918 | 2006-07-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073113072 | Jonalyn Coronel | Specialist | 653 Canyon Rd, Novato, CA 94947-4331 | 2020-10-28 |
1497353239 | Nadia Nodoust-christensen | Specialist | 1627 Curtis Ave, Manhattan Beach, CA 90266-7022 | 2020-10-14 |
1073111936 | Griffin Nutrition Xterem | Specialist | 21575 Dome Trl, Topanga, CA 90290-3645 | 2020-10-13 |
1811503162 | George Thomas Lafortune | Specialist | 7927 Painter Ave Ste 200, Whittier, CA 90602-2480 | 2020-09-22 |
1699383661 | Transgender Health and Wellness Center | Specialist | 6700 Indiana Ave Ste 252, Riverside, CA 92506-4264 | 2020-07-16 |
1700403524 | Kelly Phillips | Specialist | 4650 Fruitvale Rd, Newcastle, CA 95658-9240 | 2020-06-27 |
1417572462 | Sarah Velez | Specialist | 1001 Potrero Ave Rm 7g19, San Francisco, CA 94110-3518 | 2020-06-15 |
1295350668 | Bette Graff | Specialist | 4148 10th St, Riverside, CA 92501-3110 | 2020-06-11 |
1114541463 | Serena Mink | Specialist | 100 Park Plz Apt 407, San Diego, CA 92101-6710 | 2020-06-02 |
1811510043 | Michael J Kodrich | Specialist | 40555 California Oaks Rd, Murrieta, CA 92562-5723 | 2020-05-21 |
Find all providers with the same taxonomy |
City | PORT HUENEME |
Zip Code | 93041 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.