Coastal Image Group

LBN: Coastal Image Group
Coastal Image Group is an health care organization with primary practice located at 62 Corporate Park Ste 120 , Irvine CA 92606-3142. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Ultrasound is the primary health care specialty. Coastal Image Group can be contacted via phone (949) 701-3394, or through Song, Ellen Teresa via phone (714) 904-5594.

Contact Information

Primary practice address
62 Corporate Park Ste 120 Irvine CA 92606-3142
Phone: (949) 701-3394
Fax: (949) 748-8868
Website:
Map and Directions
Authorized official contact:
Name: Song, Ellen Teresa Doctor of Medicine (MD)
Phone: (714) 904-5594

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A86825 California
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X A86825 California

Profile Details

NPI number 1073759601
LBN Legal business name Coastal Image Group
DBA Doing business as
Authorized official Song, Ellen Teresa Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2009
Last updated Jan 3rd, 2009 - about 15 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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