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

Coastal Mindscape Nursing Corporation

Organization Anesthesiology Physician · NPI 1346001104

Coastal Mindscape Nursing Corporation is an Anesthesiology Physician in Hermosa Beach, California. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
5

Practice location Address checks out

2615 Pacific Coast Hwy Ste 204
Hermosa Beach, CA 90254-2227
Phone: (424) 728-5564
Fax: (424) 377-6548
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Anesthesiology Physician Taxonomy 207L00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Psychiatry Physician Taxonomy 2084P0800X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1346001104
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dyana Ko — President · (424) 728-5564
Other names Coastal Mindscape
NPI enumeratedJanuary 18, 2024
Last updated in NPPESAugust 17, 2025
Certification dateAugust 17, 2025
Mailing address2615 Pacific Coast Hwy Ste 204, Hermosa Beach, CA 90254-2227

Other providers in Hermosa Beach