Organization
COASTLINE BEHAVIORAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEOMEL SORIANO PMHNP-C (OWNER)
(858) 414-0371
Entity
Organization
Contact information
Practice address
1250 PROSPECT ST STE O, 1&2, LA JOLLA, CA 92037-3680
(858) 414-0371
Mailing address
3930 4TH AVE STE 300, SAN DIEGO, CA 92103-3119
(858) 414-0371
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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