Coastal Center for Obesity, Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

COASTAL CENTER FOR OBESITY, INC

Practice address

2617 E Chapman Ave
307
Orange, CA 92869-3225

Phone

(714) 997-4448

Fax

(714) 997-4449

NPI assigned

Apr 29, 2013

Organization subpart

No

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

Authorized official

Name

Lisa Gladstone

Title

Marketing Manager

Phone

(714) 997-4448

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1124462502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 E CHAPMAN AVE",
            "address_2": "SUITE 307",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693226",
            "telephone_number": "714-997-4448",
            "fax_number": "714-997-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 E CHAPMAN AVE",
            "address_2": "307",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693225",
            "telephone_number": "714-997-4448",
            "fax_number": "714-997-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CENTER FOR OBESITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "GLADSTONE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MARKETING MANAGER",
        "authorized_official_telephone_number": "714-997-4448"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hunter James Clouse
• Mary Annetta Clumeck, MS
• Maria Flordeliza G Clyde
• Carmelita R Co-Casquejo, MD
• Coastal Care Consulting
• Coastal Diagnostic Services Inc
• Coastal Sleep and Diagnostic Center of Orange LLC
• Leonard Hartiz Coaston
• Troy Nicholas Coaston, MD
• Kimberly Yvette Coates

• Surgery Physician in Orange, CA
• Providers in Orange, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.