COASTAL SURGERY CENTER, INC. – NPI #1083893572
Clinic/Center

COASTAL SURGERY CENTER, INC. is an AHC clinic located in HUNTINGTON BEACH, CA. NPPES has assigned the NPI number 1083893572 to COASTAL SURGERY CENTER, INC. on October 31, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COASTAL SURGERY CENTER, INC. below.

NPI Profile for
COASTAL SURGERY CENTER, INC.

NPI Number
1083893572
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COASTAL SURGERY CENTER, INC.
Primary location
17672 BEACH BLVD
SUITE B
HUNTINGTON BEACH, CA 92647-6836
Phone: (714) 841-4909 Fax: (714) 847-8587
Mailing address
16787 BEACH BLVD
SUITE 615
HUNTINGTON BEACH, CA 92647-4848
Phone: (714) 843-9338 Fax: (714) 843-6404
Organization Subpart
No
Authorized Official
JIM SHAD
NURSE ADMINISTRATOR
Phone: (714) 841-4909
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.