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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 202K00000X | Phlebology | A86825 | CA | Allopathic & Osteopathic Physicians |
Street Address |
62 CORPORATE PARK STE 120 |
City | IRVINE |
State | CA |
Zip Code | 92606-3142 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073759601 | Coastal Image Group | Radiology | 62 Corporate Park Ste 120, Irvine, CA 92606-3142 | 2009-01-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Find all providers in zip 92606 |
Taxonomy Code | 202K00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Phlebology |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902917743 | Alan Howard Kanter | Phlebology | 250 E Yale Loop, Suite D, Irvine, CA 92604-4697 | 2006-08-31 |
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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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.