Coastal Health Alliance
NPI #1073904025 in San Geronimo, California
Provider Information
- NPI Number
- 1073904025
- Entity Type
- Organization
- Organization Name
- Coastal Health Alliance
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Feb 12, 2015
- Last Updated
- Feb 12, 2015
Practice Location
- Address
- 6350 SIR FRANCIS DRAKE BLVD.
- City
- San Geronimo
- State
- California
- ZIP Code
- 94963
- Phone
- (415) 663-8666
Authorized Official
- Name
- STEVEN P SIEGEL
- Title
- EXECUTIVE DIRECTOR
- Phone
- (415) 663-8781
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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