Southern Humboldt Community Healthcare District

NPI #1952198012 in Fortuna, California

Provider Information

NPI Number: 1952198012
Entity Type: Organization
Organization Name: Southern Humboldt Community Healthcare District
Primary Specialty: Optometrist
Enumeration Date: Apr 22, 2025
Last Updated: Jan 16, 2026

Practice Location

Address: 630 9TH ST
City: Fortuna
State: California
ZIP Code: 95540-2324
Phone: (707) 923-3921

Authorized Official

Name: KENT SCOWN
Title: COO
Phone: (707) 923-3921

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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