# COASTAL EYE CARE, A MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1700084159
- **Authorized official:** DR. LARISA A CANTER MD (PRESIDENT)
- **Authorized official phone:** (949) 644-1112

## Contact information

- **Practice address:** 400 NEWPORT CENTER DR STE 200, NEWPORT BEACH, CA 92660-7601
- **Practice address phone:** (949) 644-1112
- **Practice address fax:** (949) 721-9676
- **Mailing address:** 360 SAN MIGUEL DR, SUITE 307, NEWPORT BEACH, CA 92660-7853
- **Mailing address phone:** (949) 644-1112
- **Mailing address fax:** (949) 721-9676

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | CA | Yes |

## Other

- **Enumeration date:** 07/06/2007
- **Last updated:** 06/16/2021