Coastal Integrative Medicine
Hospice Care, Community Based in Laguna Beach, CA. Organization (NPI-2).
NPI number1164052163
StatusActive
Last updated in NPPESJan 19, 2020
Details
- NPI
- 1164052163
- Entity type
- Organization (NPI-2)
- Legal business name
- Coastal Integrative Medicine
- Organization subpart
- No
- Enumeration date
- Jan 19, 2020
- Certification date
- Jan 19, 2020
- Last updated
- Jan 19, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251G00000X | Hospice Care, Community Based | – | – | Yes |
Other names
- Coastal Integrative Health (Former Legal Business Name)
Practice location
2400 Temple Hills DrLaguna Beach, CA 92651-2668
Phone 949-943-9068
Mailing address
2400 Temple Hills DrLaguna Beach, CA 92651-2668
Phone 949-943-9068
Authorized official
Pourya Mirsaeid Mirsaeid Ghazi
President
9499439068
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Other Community Based Hospice Care Agency providers in Laguna Beach, CA
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