| Coastal Wellness Llc | |
|
10840 Warner Ave Ste 102a Fountain Valley CA 92708-3847 | |
| (909) 714-3672 | |
| Not Available |
| Full Name | Coastal Wellness Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 10840 Warner Ave Ste 102a, Fountain Valley, California |
| Authorized Official Name and Position | Khoi Ngo (CEO) |
| Authorized Official Contact | 7147930550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Wellness Llc 10840 Warner Ave Ste 102a Fountain Valley CA 92708-3847 Ph: (714) 793-0550 | Coastal Wellness Llc 10840 Warner Ave Ste 102a Fountain Valley CA 92708-3847 Ph: (909) 714-3672 |
| NPI Number | 1437013414 |
|---|---|
| Provider Enumeration Date | 12/12/2025 |
| Last Update Date | 01/23/2026 |
| Certification Date | 01/23/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437013414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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