1. Home
  2. Directory
  3. California
  4. Irvine
  5. Radiology
  6. NPI Profile

COASTAL IMAGE GROUP
NPI 1073759601
Radiology - Diagnostic Ultrasound in Irvine, CA

Active since January 03, 2009
62 CORPORATE PARK STE 120, IRVINE, CA 92606(949) 701-3394(949) 748-8868 Get Directions Write a Review

NPPES record last updated: January 3, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Coastal Image Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL IMAGE GROUP (NPI 1073759601) is a healthcare organization registered as a diagnostic ultrasound in Irvine, California and active in the NPI registry since January 2009. The organization lists Ellen Teresa Song, President, as its authorized official.

NPPES Registry Identity

NPI1073759601
Entity TypeOrganization
Primary Taxonomy2085U0001X
Legal Business NameCOASTAL IMAGE GROUP
Location Address62 CORPORATE PARK STE 120Irvine, CA 92606-3142
Mailing Address62 Corporate Park Ste 120Irvine, CA 92606-3142 · (949) 701-3394 · Fax (949) 748-8868
Phone(949) 701-3394
Fax(949) 748-8868
Organization SubpartNo
Authorized OfficialEllen Teresa SongPresident · (714) 904-5594
Enumeration DateJanuary 3, 2009
✔ NPI 1073759601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic UltrasoundAllopathic & Osteopathic Physicians
Taxonomy Code2085U0001X
License✔ Licensed in CA · A86825
Definition
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License A86825 (CA)
62 CORPORATE PARK STE 120, Irvine, CA 92606
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COASTAL VEIN AND COSMETIC CENTER
Phlebology
62 CORPORATE PARK STE 120
IRVINE, CA 92606
Orange County (949) 701-3394

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coastal Image Group's NPI number?

The NPI number for Coastal Image Group is 1073759601. It was assigned to this organization in the NPPES registry on January 3, 2009.

Where is Coastal Image Group located?

Coastal Image Group is located at 62 Corporate Park Ste 120, Irvine, CA 92606. The listed phone number is (949) 701-3394.

What is Coastal Image Group's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Ultrasound, with taxonomy code 2085U0001X.

When was this NPI record last updated?

The NPPES record for Coastal Image Group was last updated on January 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.