Healthcare Provider Details

I. General information

NPI: 1902734122
Provider Name (Legal Business Name): SEAVIEW COASTAL IMAGING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/09/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2625 TOWNSGATE RD STE 330
WESTLAKE VILLAGE CA
91361-5749
US

IV. Provider business mailing address

2625 TOWNSGATE RD STE 330
WESTLAKE VILLAGE CA
91361-5749
US

V. Phone/Fax

Practice location:
  • Phone: 805-678-0478
  • Fax:
Mailing address:
  • Phone: 805-678-0478
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State

VIII. Authorized Official

Name: EDWIN ANDREW CABICO
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 805-678-0478