# COASTAL INFUSIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417823212
- **Authorized official:** BRANDON PROFITT (OWNER/OPERATOR)
- **Authorized official phone:** (949) 397-1326

## Contact information

- **Practice address:** 33721 CALLE MIRAMAR, SAN JUAN CAPISTRANO, CA 92675-4925
- **Practice address phone:** (949) 397-7367
- **Mailing address:** 26801 OLD MISSION RD, SAN JUAN CAPISTRANO, CA 92675-3200
- **Mailing address phone:** (949) 397-1326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/17/2025
- **Last updated:** 06/25/2026