Organization
COASTAL CARDIOVASCULAR INSTITUTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DOUGLAS MORAN M.D. (PRESIDENT AND CEO)
(949) 499-8080
Entity
Organization
Contact information
Practice address
25301 CABOT RD STE 104, LAGUNA HILLS, CA 92653-5511
(949) 499-8080
(949) 499-8082
Mailing address
25301 CABOT RD STE 104, LAGUNA HILLS, CA 92653-5511
(949) 499-8080
(949) 499-8082
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
A62602
CA
Other
Enumeration date
09/07/2014
Last updated
09/07/2014
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