Affiliate Portal

Affiliate Portal

Affiliate Portal

Affiliate Portal

Welcome, Coastal Vision Medical Group Affiliates

Contact a member of our team

In this dedicated area of our website, you will be able to download forms and instructions needed to refer patients to Coastal Vision. If you find a form you need is not here, please let us know right away by sending an email. This is your section—your feedback is important.

Also in this section are direct links to our CE events registration.

Just click on the appropriate link in the above menu. Thank you for your continued support.

Gina Valdemar
Director – Affiliate Relations & Education

E: GinaValdemar@coastal-vision.com
P: 714.746.9679
F: 949.258.5085

Mylene Soriano
Director – Affiliate Relations & Education

E: MyleneSoriano@coastal-vision.com
P: 949.231.8081
F: 714.771.7126

Christy Caprine
Territory Manager – Affiliate Relations

E: ChristyCaprine@coastal-vision.com
P: 714.235.5162
F: 714.771.7126

Adriana Robles
Territory Manager – Affiliate Relations

E: AdrianaRobles@coastal-vision.com
P: 714.757.9334
F: 951.280.0962

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Event Notifications and Co-Managing Info

To receive information on upcoming Continuing Education Events, or on co-managing with Coastal Vision, please fill out the form below:
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First Name*
Last Name*
Email Address*
Practice Name*
City*
Your Role*
admin none 8:00 AM - 5:00 PM 8:00 AM - 5:00 PM 8:00 AM - 5:00 PM 8:00 AM - 5:00 PM 8:00 AM - 5:00 PM Closed Closed optometrist # # # 293 South Main St., Ste 100 Orange, CA 92868 1524 4th St., Ste 101 Norco, CA 92860 4300 Long Beach Blvd. Ste 400 Long Beach, CA 90807 15825 Laguna Canyon Rd, Ste 201 Irvine, CA 92618