Coastal Heart Inc

LBN: Coastal Heart, Inc
Coastal Heart Inc is an health care organization with primary practice located at 2621 S Bristol St Ste 108 , Santa Ana CA 92704-5718. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Ambulatory Health Care Facilities / Multi-Specialty. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty. Coastal Heart, Inc can be contacted via phone (714) 754-1684, or through Hernandez, Rebeca E via phone (714) 754-1684.

Contact Information

Primary practice address
2621 S Bristol St Ste 108 Santa Ana CA 92704-5718
Phone: (714) 754-1684
Fax: (714) 966-0417
Website:
Map and Directions
Authorized official contact:
Name: Hernandez, Rebeca E
Phone: (714) 754-1684

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1881612828
LBN Legal business name Coastal Heart, Inc
DBA Doing business as Coastal Heart Inc
Authorized official Hernandez, Rebeca E
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2006
Last updated May 19th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881612828 NPPES
California MEDICAID GR0093900

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