Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coachcare MSO LLC

Organization Internal Medicine Physician · NPI 1124837828

Coachcare MSO LLC is an Internal Medicine Physician in Hermosa Beach, California. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1246 19th St
Hermosa Beach, CA 90254-3308
Phone: (917) 324-9942
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1124837828
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Lorella — Vp Strategy · (917) 336-1205
NPI enumeratedJanuary 6, 2025
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025
Mailing address211 E 43rd St Fl 7250, New York, NY 10017-4707

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