Healthcare Provider Details

I. General information

NPI: 1871444786
Provider Name (Legal Business Name): COASTAL OCCUPATIONAL THERAPY SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2026
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13914 POWERS RD
POWAY CA
92064-3204
US

IV. Provider business mailing address

13914 POWERS RD
POWAY CA
92064-3204
US

V. Phone/Fax

Practice location:
  • Phone: 858-352-8751
  • Fax:
Mailing address:
  • Phone: 858-352-8751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: BIHUA YANG
Title or Position: CEO
Credential: MA, OTR/L
Phone: 858-352-8751