Coastal Health Alliance

NPI #1699956839 in Point Reyes Station, California

Provider Information

NPI Number: 1699956839
Entity Type: Organization
Organization Name: Coastal Health Alliance
Primary Specialty: Family Medicine
Enumeration Date: Nov 15, 2007
Last Updated: Feb 22, 2011

Practice Location

Address: 65 THIRD STREET, SUITE 17
City: Point Reyes Station
State: California
ZIP Code: 94956-0910
Phone: (415) 663-8781

Authorized Official

Name: RAFAEL GOMEZ
Title: EXECUTIVE DIRECTOR
Phone: (415) 663-8781

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X
Family Medicine	207Q00000X	Primary

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