# COASTAL PSYCHIATRIC MEDICAL ASSOCIATES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coastal Management Service Organization
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851405765
- **Authorized official:** DR. ROBERT JAY SOLOMON M.D. (PRESIDENT/MEDICAL DIRECTOR)
- **Authorized official phone:** (858) 405-4423

## Contact information

- **Practice address:** 12520 HIGH BLUFF DR, SUITE 120, SAN DIEGO, CA 92130-2041
- **Practice address phone:** (858) 405-4423
- **Practice address fax:** (858) 581-5788
- **Mailing address:** 1959 GRAND AVE, SUITE A, SAN DIEGO, CA 92109-4511
- **Mailing address phone:** (858) 405-4423
- **Mailing address fax:** (858) 581-5788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | PSY 20859 | CA | — |
| 1041C0700X | Clinical Social Worker | LCS 17640 | CA | — |
| 1041C0700X | Clinical Social Worker | LCS 18149 | CA | — |
| 1041C0700X | Clinical Social Worker | LCS 21666 | CA | — |
| 1041C0700X | Clinical Social Worker | LCS 21909 | CA | — |
| 1041C0700X | Clinical Social Worker | LCS18331 | CA | — |
| 106H00000X | Marriage & Family Therapist | MFC 19749 | CA | — |
| 106H00000X | Marriage & Family Therapist | MFC 24183 | CA | — |
| 106H00000X | Marriage & Family Therapist | MFC 35861 | CA | — |
| 106H00000X | Marriage & Family Therapist | MFC 41302 | CA | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | G64571 | CA | Yes |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 09/11/2025