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

Coastal Vascular Medicine Inc

Organization Specialist · NPI 1104234194

Coastal Vascular Medicine Inc is a Specialist in Newport Beach, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
Specialties on file
4
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

320 Superior Ave Ste 250
Newport Beach, CA 92663-2778
Phone: (949) 631-6002
Fax: (949) 631-6982
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Specialist Taxonomy 174400000X
Internal Medicine Physician Taxonomy 207R00000X · Licence 10166 (CA)
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1104234194
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ehab Mady — Owner · (949) 631-6002
NPI enumeratedJuly 23, 2014
Last updated in NPPESFebruary 20, 2025
Certification dateFebruary 20, 2025
Mailing address320 Superior Ave Ste 250, Newport Beach, CA 92663-2778

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