# COASTAL A S C LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Coastal A.S.C., LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326702457
- **Authorized official:** SUSANA BOSQUEZ (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (760) 753-7127

## Contact information

- **Practice address:** 6221 METROPOLITAN ST STE 102, CARLSBAD, CA 92009-3096
- **Practice address phone:** (760) 607-1750
- **Mailing address:** 6221 METROPOLITAN ST STE 102, CARLSBAD, CA 92009-3096
- **Mailing address phone:** (760) 607-1720
- **Mailing address fax:** (760) 334-0399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/25/2021
- **Last updated:** 05/26/2026