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

Coast Physical Medicine Inc

Organization Anesthesiology Physician · NPI 1154720373

Coast Physical Medicine Inc is an Anesthesiology Physician in Fountain Valley, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10956 Warner Ave
Fountain Valley, CA 92708-3853
Phone: (714) 963-0955
Fax: (714) 963-5775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X
Anesthesiology Physician Taxonomy 207L00000X (CA)

Record details

NPI number1154720373
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marc Cubeiro — President · (714) 963-0955
NPI enumeratedAugust 14, 2014
Last updated in NPPESAugust 19, 2019
Mailing address17931 Euclid St, Fountain Valley, CA 92708-5409

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