NPIMap

Organization Active NPI

Coastal Center for Obesity

  • Surgery Physician
  • San Pedro, CA
National Provider Identifier
1326109604
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
I-107334-L Issued in CA
Legal business name
COASTAL CENTER FOR OBESITY
Practice address
1094 W 7TH St
San Pedro, CA 90731-2928
Phone
(310) 833-4448
Fax
(310) 833-1146
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Milton L. Owens, M.D.
Title
Physician and Surgeon
Phone
(310) 833-4448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X I-107334-L CA Primary

Addresses

Primary practice location

1094 W 7TH St
San Pedro, CA 90731-2928

Mailing address

1094 W. 7TH Street
San Pedro, CA 90731-2928
Phone (310) 833-4448

National Provider Directory

National Provider Directory

Locations

1094 W 7th St
San Pedro, CA 90731
Phone (310) 832-3331

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326109604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1094 W. 7TH STREET",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312928",
            "telephone_number": "310-833-4448",
            "fax_number": "310-833-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1094 W 7TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312928",
            "telephone_number": "310-833-4448",
            "fax_number": "310-833-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CENTER FOR OBESITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "MILTON",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PHYSICIAN AND SURGEON",
        "authorized_official_telephone_number": "310-833-4448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "I-107334-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.