=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336097831
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | COASTAL CARDIOVASCULAR CARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/19/2026
-----------------------------------------------------
Last Update Date | 03/19/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 700 GARDEN VIEW CT STE 204
-----------------------------------------------------
City | ENCINITAS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92024-2478
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 760-452-6334
-----------------------------------------------------
Fax | 760-634-9755
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 700 GARDEN VIEW CT STE 204
-----------------------------------------------------
City | ENCINITAS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92024-2478
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MD
-----------------------------------------------------
Name | SALMAN MEHBOOB
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 760-230-2256
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WC3500X
-----------------------------------------------------
Taxonomy Name | Cardiac Rehabilitation Registered Nurse
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------