Healthcare Provider Details

I. General information

NPI: 1922420983
Provider Name (Legal Business Name): COASTAL VIEW GASTROENTEROLOGY OF SOUTH BAY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2014
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3440 LOMITA BLVD STE 420
TORRANCE CA
90505-4829
US

IV. Provider business mailing address

3440 LOMITA BLVD STE 420
TORRANCE CA
90505-4829
US

V. Phone/Fax

Practice location:
  • Phone: 424-250-9186
  • Fax: 323-300-2021
Mailing address:
  • Phone: 424-250-9186
  • Fax: 323-300-2021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberA85817
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberA85817
License Number StateCA

VIII. Authorized Official

Name: DR. SUTHA SACHAR
Title or Position: PRESIDENT/OWNER/CEO
Credential: MD
Phone: 310-560-0695