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Organization
COASTAL MINDSCAPE NURSING CORPORATION
Active
Organization
COASTAL MINDSCAPE NURSING CORPORATION
Active
Other names
Coastal Mindscape
Organization subpart
No
Provider details
NPI number
Authorized official
DYANA KO NP (PRESIDENT)
(424) 728-5564
Entity
Organization
Contact information
Practice address
2615 PACIFIC COAST HWY STE 204, HERMOSA BEACH, CA 90254-2227
(424) 728-5564
(424) 377-6548
Mailing address
2615 PACIFIC COAST HWY STE 204, HERMOSA BEACH, CA 90254-2227
(424) 728-5564
(424) 377-6548
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/18/2024
Last updated
08/17/2025
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