NPIMap

Coast Pain and Spine Institute

Organization Active NPI Pain Medicine (Anesthesiology) Physician · Grover Beach, CA

NPI 1598528598 · NPPES record last updated Feb 1, 2024

Key facts

NPI
1598528598
Entity type
Organization (NPI type 2)
Primary specialty
Pain Medicine (Anesthesiology) Physician 207LP2900X
Legal business name
COAST PAIN AND SPINE INSTITUTE
Practice address
1800 E Grand Ave Ste L2
Grover Beach, CA 93433-5222
Phone
(805) 710-9465
NPI assigned
Feb 1, 2024
Organization subpart
No

Authorized official

Name
Carlos Untal
Title
Partner
Phone
(310) 792-3914

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

  • Carlos Untal, M.D. Pain Medicine (Anesthesiology) Physician · San Luis Obispo, CA · NPI 1316923998
    NPD ANESTHESIOLOGY

National Provider Directory

Locations

1800 E Grand Ave
Ste L2
Grover Beach, CA 93433
Phone (805) 710-9465

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207L00000X
Pain Medicine (Anesthesiology) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207LP2900X Yes
Physical Medicine & Rehabilitation Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208100000X

Addresses

Primary practice location

1800 E Grand Ave Ste L2
Grover Beach, CA 93433-5222

Mailing address

PO Box 3129
Torrance, CA 90510-3129
Phone (310) 792-3914

Other providers in Grover Beach, CA

All providers in Grover Beach, CA · Pain Medicine (Anesthesiology) Physician in California

Sources for this page

Verify at the official NPI Registry.