Coastside Family Medical Clinic, INC
NPI #1508916628 in Half Moon Bay, California
Provider Information
- NPI Number
- 1508916628
- Entity Type
- Organization
- Organization Name
- Coastside Family Medical Clinic, INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 11, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 225 CABRILLO HWY S STE 100A
- City
- Half Moon Bay
- State
- California
- ZIP Code
- 94019-1738
- Phone
- (650) 712-7330
Authorized Official
- Name
- MR. ROBERT V HARLESS
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (650) 712-7330
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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