# COLLEGE COASTAL CARE LLC

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

## Provider details

- **NPI number:** 1659871879
- **Authorized official:** SAMANTHA K. FELD JD (GENERAL COUNSEL)
- **Authorized official phone:** (949) 574-3389

## Contact information

- **Practice address:** 1725 PACIFIC AVE, LONG BEACH, CA 90813-1714
- **Practice address phone:** (562) 997-2000
- **Mailing address:** 11627 TELEGRAPH RD STE 200, SANTA FE SPRINGS, CA 90670-6814
- **Mailing address phone:** (949) 574-3389

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | PENDING | CA | Yes |

## Other

- **Enumeration date:** 02/14/2018
- **Last updated:** 02/14/2018