COAST MEDICAL AND BOTOX
NPI 1821673062
Internal Medicine in Laguna Beach, CA

Active since March 09, 2021
1100 S COAST HWY STE 206, LAGUNA BEACH, CA 92651(949) 715-6890 Get Directions Write a Review

NPPES record last updated: August 17, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 17, 2021, Mar 9, 2021 (2 updates tracked since 2021).

About Coast Medical And Botox NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COAST MEDICAL AND BOTOX (NPI 1821673062) is a healthcare organization registered as an internal medicine in Laguna Beach, California and active in the NPI registry since March 2021. The organization lists Jeffrey Crudo, Owner, as its authorized official.

NPPES Registry Identity

NPI1821673062
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameJEFFREY CRUDO MD CORP
Location Address1100 S COAST HWY STE 206Laguna Beach, CA 92651-2972
Mailing Address1100 S Coast Hwy Ste 206Laguna Beach, CA 92651-2972 · (949) 715-6890
Organization SubpartNo
Authorized OfficialJeffrey CrudoOwner · (949) 715-6890
Enumeration DateMarch 9, 2021
Last NPPES UpdateAugust 17, 20212 updates tracked since enumeration
NPPES CertifiedAugust 17, 2021
NPI 1821673062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1100 S COAST HWY STE 206, Laguna Beach, CA 92651

Other Names 1

Doing Business AsCoast Medical And Botox

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Internal Medicine
1100 S COAST HWY STE 206
LAGUNA BEACH, CA 92651
Family Medicine
1100 S COAST HWY STE 206
LAGUNA BEACH, CA 92651

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821673062, enumerated as an "organization" on March 09, 2021.

The provider is located at 1100 S COAST HWY STE 206 LAGUNA BEACH, CA 92651 and the phone number is (949) 715-6890.

Internal Medicine with taxonomy code 207R00000X.