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COASTAL DERM & COSMETIC CENTER, INC.

Company Details

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
Purpose: DERMATOLOGY PATIENT CLINICAL SERVICES AND SKIN CARE. Title: 7-1.2-1701
Fictitious names: COASTAL DERMATOLOGY & COSMETIC CENTER (trading name, 2015-04-15 - )
Principal Address: Google Maps Logo 750 RESERVOIR AVE., CRANSTON, RI, 02910, USA

Industry & Business Activity

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

Agent

Name Role Address
CHUNSONG LUO Agent 1539 ATWOOD AVENUE SUITE 301, JOHNSTON, RI, 02919, USA

PRESIDENT

Name Role Address
HAU ZHOU PRESIDENT 19 BELLE ISLE WAY CRANSTON, RI 02921 USA

VICE PRESIDENT

Name Role Address
SU LUO VICE PRESIDENT 26 MISS FRY DRIVE EAST GREENWICH, RI 02818 USA

National Provider Identifier

NPI Number:
1528487683
Certification Date:
2024-09-09

Authorized Person:

Name:
HUA ZHOU
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
4014904516

Filings

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

USAspending Awards / Financial Assistance

Date:
2021-02-25
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
66000.00
Total Face Value Of Loan:
66000.00
Date:
2020-04-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
66000.00
Total Face Value Of Loan:
66000.00

Paycheck Protection Program

Date Approved:
2021-02-25
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
66000
Current Approval Amount:
66000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
66317.17
Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
66000
Current Approval Amount:
66000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
66832.33

Date of last update: 31 May 2025

Sources: Rhode Island Department of State