COASTAL VEIN AND COSMETIC CENTER


Address: 62 Corporate Park Ste 120, Irvine, CA 92606-3142
Phone: 9497013394

COASTAL VEIN AND COSMETIC CENTER (NPI# 1619113248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619113248
Entity Type Organization
Organization Name COASTAL VEIN AND COSMETIC CENTER
Practice Address 62 Corporate Park Ste 120
Irvine
CA 92606-3142
Practice Telephone 9497013394
Practice Fax Number 9497488868
Mailing Telephone 9497013394
Mailing Fax Number 9497488868
Enumeration Date 2009-01-03
Last Update Date 2009-01-03
Authorized Official Name DR. ELLEN TERESA SONG (PRESIDENT)
Authorized Official Telephone 7149045594
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 202K00000X Phlebology A86825 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 62 CORPORATE PARK STE 120
City IRVINE
State CA
Zip Code 92606-3142

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NPI Name Taxonomy Address Enumeration
1073759601 Coastal Image Group Radiology 62 Corporate Park Ste 120, Irvine, CA 92606-3142 2009-01-03

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1912384967 Roxanne Betancourt Behavioral Analyst 16782 Von Karman Avenue Suite 11, Irvine, CA 92606 2015-04-29
1942552096 East Haradin Acupuncturist 3 Corporate Park, Irvine, CA 92606 2012-10-12
1730434622 Fountain Modern Dentistry and Orthodontics, LLP Dentist 2860 Michelle Drive 2nd Floor, Irvine, CA 92606 2012-07-17
1205100898 Maria Del Pilar Aguero Marriage & Family Therapist 20 Corporate Park #118, Irvine, CA 92606 2012-02-29
1013292077 Hanah &health, Inc. Acupuncturist 2691 Richter Ave Suite 120, Irvine, CA 92606 2011-10-20
1831474345 Elham Shoja Psychologist 8 Corporate Park Suite 300, Irvine, CA 92606 2011-10-15
1154631869 Frances Lam Acupuncturist 2400 Alton Ave., Ste. 208, Irvine, CA 92606 2010-10-15
1174848055 Oc Physical Therapy Corporation Clinic/Center 62 Coporate Park, 145, Irvine, CA 92606 2010-04-02
1770714941 Yuhong She Obstetrics & Gynecology 3500 Barranca Parkway, Ste. 230, Irvine, CA 92606 2009-08-05
1235396136 Kevin K Lim Dentist 16525 Von Karman Ave, #f, Irvine, CA 92606 2008-05-19
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Taxonomy Information

Taxonomy Code 202K00000X
Grouping Allopathic & Osteopathic Physicians
Classification Phlebology

Taxonomy Definition

Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism.
Notes: Source: American College of Phlebology 12/2006. www.phelbology.org [1/1/2007: new, 7/1/2009: definition reformatted] Additional Resources: Training Programs, Fellowships, and/or Preceptorships: Certification exam is being established by the American Board of Phlebology. ACGME Accredited Residency Program Requirements: None

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902917743 Alan Howard Kanter Phlebology 250 E Yale Loop, Suite D, Irvine, CA 92604-4697 2006-08-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508371600 Bh Vein Institute Inc. Phlebology 9400 Brighton Way Ste 303, Beverly Hills, CA 90210-4710 2017-12-11
1497197149 Keller Veins Medical Corporation Phlebology 950 Cass St Ste B, Monterey, CA 93940-4547 2013-07-23
1164699880 Vein Doctor Medical Group Inc. Phlebology 1945 E 17th St Ste 107, Santa Ana, CA 92705-6862 2008-05-12
1548789407 M'chae Hollowell Phlebology 405 W 5th St, Santa Ana, CA 92701-4599 2017-09-12
1841725801 The Original Vein Doctor Phlebology 44300 Monterey Ave, Suite B, Palm Desert, CA 92260-3377 2017-04-27
1487188280 Stephen Hopkins Md Medical Corporation Phlebology 680 Guzzi Ln, Suite 103, Sonora, CA 95370-5288 2017-04-18
1295193357 Khateeb Vein Center Phlebology 44054 Margarita Rd, Suite 2, Temecula, CA 92592-2737 2016-02-04
1588917322 California Interventional Medical Group Phlebology 11601 Wilshire Blvd, 5th Floor, Los Angeles, CA 99025 2012-10-17
1982955399 Eric Mowatt-larssen, Md, Inc Phlebology 977 Pacific St Ste B, Monterey, CA 93940-4400 2012-09-25
1720391527 Premier Vein Care Phlebology 3231 S Higuera St, San Luis Obispo, CA 93401-6924 2010-07-21
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Competitor

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City IRVINE
Zip Code 92606

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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