Coastline Medical Clinic Inc

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

COASTLINE MEDICAL CLINIC INC

Practice address

15606 Brookhurst St
Ste a
Westminster, CA 92683-7581

Phone

(714) 531-7730

Fax

(714) 531-7793

NPI assigned

Nov 8, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Phong H Tran, MD

Title

President

Phone

(714) 531-7730

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ECEIBA

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1013218007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9658",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927289658",
            "telephone_number": "714-531-7730",
            "fax_number": "714-531-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15606 BROOKHURST ST",
            "address_2": "STE A",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837581",
            "telephone_number": "714-531-7730",
            "fax_number": "714-531-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTLINE MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "PHONG",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-531-7730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Chen, MD, Apc
• Cirac Dental Corporation
• City of Westminster Paramedics
• Clearoptix Optometric Group
• Christina Co
• Coastline Medical Clinic Inc
• Coastline Medical Clinic Inc
• Coastline Pain Center
• Coastline Pain Center
• Sierra Grace Cobo, RN, BSN

• Pain Medicine Physician in Westminster, CA
• Providers in Westminster, CA by specialty
• Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.