Coastal Cardiovascular Institute, INC.
Internal Medicine, Interventional Cardiology in Laguna Hills, CA. Organization (NPI-2).
NPI number1982005195
StatusActive
Last updated in NPPESSep 7, 2014
Details
- NPI
- 1982005195
- Entity type
- Organization (NPI-2)
- Legal business name
- Coastal Cardiovascular Institute, INC.
- Organization subpart
- No
- Enumeration date
- Sep 7, 2014
- Last updated
- Sep 7, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0011X | Internal Medicine, Interventional Cardiology | A62602 | CA | Yes |
Practice location
25301 Cabot Rd Ste 104Laguna Hills, CA 92653-5511
Phone 949-499-8080 · Fax 949-499-8082
Mailing address
25301 Cabot Rd Ste 104Laguna Hills, CA 92653-5511
Phone 949-499-8080 · Fax 949-499-8082
Authorized official
Michael Douglas Moran
President And Ceo
9494998080
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