Organization
SUMMIT COASTAL LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH B RANDLE (PRESIDENT)
(949) 689-8880
Entity
Organization
Contact information
Practice address
165 E WILSON ST # B, COSTA MESA, CA 92627-1564
(949) 689-8880
Mailing address
PO BOX 2028, NEWPORT BEACH, CA 92659-1028
(949) 689-8880
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
C50412
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C50412
DR. KAMBIZ KARIMI
CA
Enumeration date
03/29/2016
Last updated
03/29/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us