Department of State Hospital Coalinga
NPI #1780181222 in Coalinga, California
Provider Information
- NPI Number
- 1780181222
- Entity Type
- Organization
- Organization Name
- Department of State Hospital Coalinga
- Primary Specialty
- Clinic/Center - Prison Health
- Enumeration Date
- Apr 11, 2018
- Last Updated
- Apr 11, 2018
Practice Location
- Address
- 24511 W JAYNE AVE
- City
- Coalinga
- State
- California
- ZIP Code
- 93210-9516
- Phone
- (559) 935-4300
Authorized Official
- Name
- DR. JEOUNG PARK
- Title
- CLINICAL PSYCHOLOGIST
- Phone
- (559) 934-3201
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Prison Health — Prison Health |
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