Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Coast Pulmonary & Internal Medicine Associates

Organization Dermatology Physician · NPI 1407974967

Coast Pulmonary & Internal Medicine Associates provides Dermatology Physician services in Fountain Valley, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
3

Practice location Address checks out

9940 Talbert Ave Ste 101
Fountain Valley, CA 92708-5153 Not confirmed with CMS for 15 years — call before visiting
Phone: (714) 545-8700
Fax: (714) 545-8084
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence G26245 (CA)
Dermatology Physician Taxonomy 207N00000X · Licence A75677 (CA)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence A37535 (CA)

Record details

NPI number1407974967
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jill Roell — Office Manager · (714) 545-8700
NPI enumeratedMarch 26, 2007
Last updated in NPPESAugust 12, 2011
Mailing address9940 Talbert Ave, Suite 101, Fountain Valley, CA 92708-5153

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