Coastal Kids

LBN: Coastal Kids, A Professional Medical Corporation
Coastal Kids is an health care organization with primary practice located at 2071 San Joaquin Hills Rd , Newport Beach CA 92660-6505. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Coastal Kids, A Professional Medical Corporation can be contacted via phone (949) 759-1720, or through Thompson, Jeffrey via phone (949) 448-8821.

Contact Information

Primary practice address
2071 San Joaquin Hills Rd Newport Beach CA 92660-6505
Phone: (949) 759-1720
Fax: (949) 759-1442
Website:
Map and Directions
Authorized official contact:
Name: Thompson, Jeffrey
Phone: (949) 448-8821

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A56395 California

Profile Details

NPI number 1740311737
LBN Legal business name Coastal Kids, A Professional Medical Corporation
DBA Doing business as Coastal Kids
Authorized official Thompson, Jeffrey
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2007
Last updated Nov 17th, 2023 - about 2 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 1740311737 NPPES
California MEDICAID 00A563950

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