1. Home
  2. Directory
  3. California
  4. Fountain Valley
  5. Clinic Center
  6. NPI Profile

COASTAL WELLNESS LLC
NPI 1437013414
Clinic/Center - Rehabilitation, Substance Use Disorder in Fountain Valley, CA

Active since December 12, 2025
10840 WARNER AVE STE 102A, FOUNTAIN VALLEY, CA 92708(909) 714-3672 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 23, 2026, Dec 23, 2025, Dec 12, 2025 (3 updates tracked since 2025).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Secondary Taxonomies
  4. Authorized Official
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About COASTAL WELLNESS LLC

This page provides the complete NPI Profile along with additional information for Coastal Wellness Llc, a provider established in Fountain Valley, California operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1437013414 assigned on December 2025. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Khoi Ngo (Ceo)

NPI
1437013414 Verify this NPI
Provider Name
COASTAL WELLNESS LLC
Entity Type
Organization
Location Address
10840 WARNER AVE STE 102A FOUNTAIN VALLEY, CA 92708
Location Phone
(909) 714-3672
Mailing Address
10840 WARNER AVE STE 102A FOUNTAIN VALLEY, CA 92708
Mailing Phone
(714) 793-0550
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-12-2025
Last Update Date
01-23-2026
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization		 License No. (State)
1261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KHOI NGO

Authorized Official Title
CEO
Authorized Official Phone
(714) 793-0550

Reviews for COASTAL WELLNESS LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Frequently Asked Questions

What is COASTAL WELLNESS LLC's NPI number?

The NPI number assigned to this healthcare provider is 1437013414, enumerated as an "organization" on December 12, 2025.

Where is the provider located?

The provider is located at 10840 WARNER AVE STE 102A FOUNTAIN VALLEY, CA 92708 and the phone number is (909) 714-3672.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.