Coastline Med Management Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

COASTLINE MED MANAGEMENT INC.

Practice address

300 S Harbor Blvd
#920
Anaheim, CA 92805-3733

Phone

(714) 515-5607

NPI assigned

Dec 20, 2013

Last updated

Dec 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ruben Hernandez

Title

President

Phone

(714) 515-5607

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387497600000",
    "number": "1851712681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S HARBOR BLVD",
            "address_2": "#920",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928053733",
            "telephone_number": "714-515-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S HARBOR BLVD",
            "address_2": "#920",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928053733",
            "telephone_number": "714-515-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTLINE MED MANAGEMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-20",
        "last_updated": "2013-12-20",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-515-5607",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.