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

Coastal Vein and Cosmetic Center

Organization Phlebology Physician · NPI 1619113248

Coastal Vein and Cosmetic Center is a Phlebology Physician in Irvine, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009

Practice location Address checks out

62 Corporate Park Ste 120
Irvine, CA 92606-3142
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

Phlebology Physician (primary) Taxonomy 202K00000X · Licence A86825 (CA)

Record details

NPI number1619113248
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

Other providers in Irvine