Organization
COAST 2 COAST CONSULT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL A MARTINEZ JR. (CFO)
(818) 522-3732
Entity
Organization
Contact information
Practice address
21515 VANOWEN ST, CANOGA PARK, CA 91303-2715
(818) 522-3732
Mailing address
21515 VANOWEN ST, CANOGA PARK, CA 91303-2715
(818) 522-3732
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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