Organization
COAST MEDICAL, PC
Active
Other names
Orange Coast Psychiatry, BJE Esterman PC, Orange Coast Psychiatry, Medical Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
JACKSON TEA (VP/BOARD OF DIRECTOR)
(626) 429-0088
Entity
Organization
Contact information
Practice address
1720 W BALL RD STE 4C, ANAHEIM, CA 92804-5591
(626) 429-0088
Mailing address
532 N MAGNOLIA AVE # 769, ANAHEIM, CA 92801-4937
(714) 683-1472
(714) 683-1473
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/28/2024
Last updated
03/03/2026
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