Coast Line Infusion, Inc.

Primary specialty

Home Infusion AgencyTaxonomy code 251F00000X

Legal business name

COAST LINE INFUSION, INC.

Practice address

300 N 3Rd St # 226
Burbank, CA 91502-1107

Phone

(818) 652-8000

Fax

(818) 302-2288

NPI assigned

Dec 6, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Garry T Tindell, R.N.

Title

President / Ceo

Phone

(818) 652-8000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1720356769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N 3RD ST # 226",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021107",
            "telephone_number": "818-652-8000",
            "fax_number": "818-302-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N 3RD ST # 226",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021107",
            "telephone_number": "818-652-8000",
            "fax_number": "818-302-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST LINE INFUSION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "TINDELL",
        "authorized_official_first_name": "GARRY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "818-652-8000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ericka Clemons
• Clinica Nueva Vida Medical Inc
• Clinical and Forensic Neuropsychological Associates Inc.
• CMR Rehab Center of Burbank, LLC
• Joey Co
• Coastal Hospice Care
• Josue Cobar
• Sarah Coblentz
• Donald Joseph Cocozza, P.T.
• Amy Cole

• Home Infusion Agency in Burbank, CA
• Providers in Burbank, CA by specialty
• Home Infusion Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.