| Name: | COASTAL DERM & COSMETIC CENTER, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 25 Jul 2013 (12 years ago) |
| Identification Number: | 000814970 |
| ZIP code: | 02910 |
| County: | Providence County |
| Principal Address: | 750 RESERVOIR AVE., CRANSTON, RI, 02910, USA |
| Purpose: | DERMATOLOGY PATIENT CLINICAL SERVICES AND SKIN CARE. Title: 7-1.2-1701 |
| Fictitious names: |
COASTAL DERMATOLOGY & COSMETIC CENTER (trading name, 2015-04-15 - ) |
NAICS
621111 Offices of Physicians (except Mental Health Specialists)This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528487683 | 2014-04-15 | 2024-09-09 | 1539 ATWOOD AVE, SUITE 301, JOHNSTON, RI, 029193262, US | 1539 ATWOOD AVE, SUITE 301, JOHNSTON, RI, 029193262, US | |||||||||||||||
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| Phone | +1 401-490-4515 |
| Fax | 4014904516 |
Authorized person
| Name | HUA ZHOU |
| Role | OWNER |
| Phone | 4014904515 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CHUNSONG LUO | Agent | 1539 ATWOOD AVENUE SUITE 301, JOHNSTON, RI, 02919, USA |
| Name | Role | Address |
|---|---|---|
| HAU ZHOU | PRESIDENT | 19 BELLE ISLE WAY CRANSTON, RI 02921 USA |
| Name | Role | Address |
|---|---|---|
| SU LUO | VICE PRESIDENT | 26 MISS FRY DRIVE EAST GREENWICH, RI 02818 USA |
| Name | Role | Address |
|---|---|---|
| CHUNSONG LUO | OTHER OFFICER | 19 BELLE ISLE WAY CRANSTON, RI 02921 USA |
| Number | Name | File Date |
|---|---|---|
| 202444692780 | Annual Report | 2024-01-25 |
| 202340539710 | Annual Report - Amended | 2023-08-24 |
| 202328065820 | Annual Report | 2023-02-09 |
| 202328065730 | Annual Report - Amended | 2023-02-09 |
| 202208467630 | Annual Report | 2022-01-23 |
| 202184806070 | Annual Report | 2021-01-06 |
| 202032561670 | Annual Report | 2020-01-17 |
| 201883034010 | Annual Report | 2018-12-21 |
| 201755087960 | Annual Report | 2017-12-15 |
| 201629258690 | Annual Report | 2016-12-30 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4025498503 | 2021-02-25 | 0165 | PPS | 1539 Atwood Ave Ste 301, Johnston, RI, 02919-3262 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4229677308 | 2020-04-29 | 0165 | PPP | 1539 Atwood Avenue Suite 301, JOHNSTON, RI, 02919 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 17 Oct 2024
Sources: Rhode Island Department of State
