OrganizationActive
Coastal Image Group
NPI 1073759601 · Diagnostic Ultrasound Physician · Irvine, CA
Provider details
- NPI number
- 1073759601
- Entity type
- Organization
- Primary specialty
- Diagnostic Ultrasound PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ellen Song, President(714) 904-5594
- License
- A86825 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
62 Corporate Park Ste 120
Irvine, CA 92606-3142
Phone: (949) 701-3394
Fax: (949) 748-8868
Approximate (ZIP-level) locationGet directions
Mailing address
62 Corporate Park Ste 120
Irvine, CA 92606-3142
Registry dates
- Enumerated
- 2009-01-03
- Last updated
- 2009-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.