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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: August 09, 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
Phone(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
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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 NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KEYS S KEEL MD
Family Medicine
1100 S COAST HWY STE 206
LAGUNA BEACH, CA 92651
Orange County (949) 499-3915
DR. JEFFREY JOHN CRUDO M.D.
Internal Medicine
1100 S COAST HWY STE 206
LAGUNA BEACH, CA 92651
Orange County (949) 715-6890

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Crudo MD Corp's NPI number?

The NPI number for Jeffrey Crudo MD Corp is 1821673062. It was assigned to this organization in the NPPES registry on March 9, 2021. The provider is doing business as Coast Medical And Botox.

Where is Jeffrey Crudo MD Corp located?

Jeffrey Crudo MD Corp is located at 1100 S Coast Hwy Ste 206, Laguna Beach, CA 92651. The listed phone number is (949) 715-6890.

What is Jeffrey Crudo MD Corp's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Jeffrey Crudo MD Corp was last updated on August 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.