Coast 2 Coast Consult LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Canoga Park, CA. Organization (NPI-2).
NPI number1922943083
StatusActive
Last updated in NPPESApr 23, 2026
Details
- NPI
- 1922943083
- Entity type
- Organization (NPI-2)
- Legal business name
- Coast 2 Coast Consult LLC
- Organization subpart
- No
- Enumeration date
- Apr 23, 2026
- Certification date
- Apr 22, 2026
- Last updated
- Apr 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
21515 Vanowen StCanoga Park, CA 91303-2715
Phone 818-522-3732
Mailing address
21515 Vanowen StCanoga Park, CA 91303-2715
Phone 818-522-3732
Authorized official
Manuel A Martinez
Cfo
8185223732
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