Healthcare Provider Details

I. General information

NPI: 1013339183
Provider Name (Legal Business Name): COASTAL PERINATAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2014
Last Update Date: 04/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3440 LOMITA BLVD STE 440
TORRANCE CA
90505-4826
US

IV. Provider business mailing address

PO BOX 3129
TORRANCE CA
90510-3129
US

V. Phone/Fax

Practice location:
  • Phone: 424-250-9186
  • Fax: 310-300-1381
Mailing address:
  • Phone: 310-792-3914
  • Fax: 855-898-4055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number87370
License Number StateCA

VIII. Authorized Official

Name: VIKAS SACHAR
Title or Position: PRESIDENT
Credential: MD
Phone: 424-250-9186