Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Coastal Image Group

Organization Diagnostic Radiology Physician · NPI 1073759601

Coastal Image Group provides Diagnostic Radiology Physician services 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 120
Irvine, CA 92606-3142 Not confirmed with CMS for 17 years — call before visiting
Phone: (949) 701-3394
Fax: (949) 748-8868
Show map & directions

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 number1073759601
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ellen Song — President · (714) 904-5594
NPI enumeratedJanuary 3, 2009
Last updated in NPPESJanuary 3, 2009
Mailing address62 Corporate Park Ste 120, Irvine, CA 92606-3142

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