| Coastal Community Center Inc | |
|
3650 N University Ave Ste 150 Provo UT 84604-6636 | |
| (702) 809-2505 | |
| Not Available |
| Full Name | Coastal Community Center Inc |
|---|---|
| Speciality | Nurse Practitioner - Primary Care |
| Location | 3650 N University Ave Ste 150, Provo, Utah |
| Authorized Official Name and Position | Ayushmaan Srinivasa (BOARD MEMBER) |
| Authorized Official Contact | 7028092505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Community Center Inc 3650 N University Ave Ste 150 Provo UT 84604-6636 Ph: () - | Coastal Community Center Inc 3650 N University Ave Ste 150 Provo UT 84604-6636 Ph: (702) 809-2505 |
| NPI Number | 1295690527 |
|---|---|
| Provider Enumeration Date | 12/18/2025 |
| Last Update Date | 12/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295690527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Primary |
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