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

Coastal Vascular Medicine Inc

Organization Specialist · NPI 1104234194

Coastal Vascular Medicine Inc provides Specialist services in Newport Beach, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

320 Superior Ave Ste 250
Newport Beach, CA 92663-2778
Phone: (949) 631-6002
Fax: (949) 631-6982
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Specialist Taxonomy 174400000X
Internal Medicine Physician Taxonomy 207R00000X · Licence 10166 (CA)
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1104234194
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ehab Mady — Owner · (949) 631-6002
NPI enumeratedJuly 23, 2014
Last updated in NPPESFebruary 20, 2025
Certification dateFebruary 20, 2025
Mailing address320 Superior Ave Ste 250, Newport Beach, CA 92663-2778

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