Organization
COASTAL IMAGING AND INTERVENTION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REZA SHAHBAZ MD (PRESIDENT)
(714) 999-6000
Entity
Organization
Contact information
Practice address
1111 W LA PALMA AVE, ANAHEIM, CA 92801-2804
(714) 999-3847
(714) 999-6127
Mailing address
PO BOX 60049, ARCADIA, CA 91066-6049
(626) 698-7246
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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