Coastal Image Group
Coastal Image Group is a Diagnostic Radiology Physician in Irvine, California. Licensed in California. Registered with an NPI since 2009.
- Licensed in
- CA
- In the registry since
- 2009
- Specialties on file
- 2
Practice location Address checks out
62 Corporate Park Ste 120Irvine, CA 92606-3142
Phone: (949) 701-3394
Fax: (949) 748-8868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Ultrasound Physician (primary) | Taxonomy 2085U0001X · Licence A86825 (CA) |
|---|---|
| Diagnostic Radiology Physician | Taxonomy 2085R0202X · Licence A86825 (CA) |
Record details
| NPI number | 1073759601 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ellen Song — President · (714) 904-5594 |
| NPI enumerated | January 3, 2009 |
| Last updated in NPPES | January 3, 2009 |
| Mailing address | 62 Corporate Park Ste 120, Irvine, CA 92606-3142 |
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