| Organization Name: | COASTLINE THERAPIES |
| NPI Number: | 1891064713 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAREN VESCIAL (SPEECH THERAPIST) |
| Mailing Address: | 7400 Center Ave Suite 104 Huntington Beach |
| State: | CA US |
| Postal Code: | 926473094 |
| Phone Number: | 7142922322 |
| Fax Number: | 7148664153 |
| NPI Enumeration Date: | 12/21/2011 |
| NPI Last Update Date: | 12/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP9675 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |