Coastal Wellness LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

COASTAL WELLNESS LLC

Practice address

10840 Warner Ave Ste 102a
Fountain Valley, CA 92708-3847

Phone

(909) 714-3672

NPI assigned

Dec 12, 2025

Organization subpart

No

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

Authorized official

Name

Khoi Ngo

Title

Ceo

Phone

(714) 793-0550

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1765497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769126400000",
    "number": "1437013414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10840 WARNER AVE STE 102A",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083847",
            "telephone_number": "714-793-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10840 WARNER AVE STE 102A",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083847",
            "telephone_number": "909-714-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-12",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "KHOI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-793-0550"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coast Physical Medicine Inc
• Coast Pulmonary & Internal Medicine Associates
• Coast Surgical Consultants
• Coastal 7 Anesthesiology Professional Corporation
• Coastal Recovery, Inc.
• Robert C Cockrell, MD
• David Cohen, DDS
• Shelby Alexandria Colburn, NP
• Carol J Cole, LMFT
• Rachelle Coleman

• Substance Use Disorder Rehabilitation Clinic/Center in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; 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.