| Coastline Behavioral Health | |
|
2102 Business Center Dr # 121 Irvine CA 92612-1001 | |
| (949) 300-1657 | |
| Not Available |
| Full Name | Coastline Behavioral Health |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 2102 Business Center Dr # 121, Irvine, California |
| Authorized Official Name and Position | Mike Priesing (FOUNDER) |
| Authorized Official Contact | 9493001657 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastline Behavioral Health 2102 Business Center Dr # 121 Irvine CA 92612-1001 Ph: (949) 300-1657 | Coastline Behavioral Health 2102 Business Center Dr # 121 Irvine CA 92612-1001 Ph: (949) 300-1657 |
| NPI Number | 1407216906 |
|---|---|
| Provider Enumeration Date | 02/26/2016 |
| Last Update Date | 02/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407216906 | NPI | - | NPPES |
| 300630AP | Other | CA | DEPARTMENT OF HEALTHCARE SERVICES |
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