| Coast To Coast California | |
|
5195 Hampsted Village Center Way Suite 256 New Albany OH 43054-8331 | |
| (614) 855-9961 | |
| Not Available |
| Full Name | Coast To Coast California |
|---|---|
| Speciality | Emergency Medicine |
| Location | 5195 Hampsted Village Center Way, New Albany, Ohio |
| Authorized Official Name and Position | Mark James Bolton (OWNER) |
| Authorized Official Contact | 6148559961 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coast To Coast California 5195 Hampsted Village Center Way Suite 256 New Albany OH 43054-8331 Ph: (614) 855-9961 | Coast To Coast California 5195 Hampsted Village Center Way Suite 256 New Albany OH 43054-8331 Ph: (614) 855-9961 |
| NPI Number | 1760858450 |
|---|---|
| Provider Enumeration Date | 08/17/2015 |
| Last Update Date | 08/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760858450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A64578 (California) | Secondary |
| 208D00000X | General Practice | A64578 (California) | Secondary |
| 207P00000X | Emergency Medicine | A64578 (California) | Primary |
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