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

Coastal Mesa Corp

Organization Multi-Specialty Clinic/Center · NPI 1104443506

Coastal Mesa Corp is a Multi-Specialty Clinic/Center in Costa Mesa, California. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

777 W 19th St Ste J
Costa Mesa, CA 92627-6131
Phone: (657) 203-2133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X

Record details

NPI number1104443506
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alex Sadak — Manager · (657) 203-2133
NPI enumeratedJuly 1, 2020
Last updated in NPPESJuly 1, 2020
Certification dateJuly 1, 2020
Mailing address777 W 19th St Ste J, Costa Mesa, CA 92627-6131

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