Coastal Health Alliance
Clinic/Center, Dental in Point Reyes Station, CA. Organization (NPI-2).
NPI number1083179360
StatusActive
Last updated in NPPESJan 31, 2019
Details
- NPI
- 1083179360
- Entity type
- Organization (NPI-2)
- Legal business name
- Coastal Health Alliance
- Organization subpart
- No
- Enumeration date
- Jan 31, 2019
- Last updated
- Jan 31, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- Point Reyes Medical Clinic (Doing Business As)
Practice location
65 Third StreetSuite 13
Point Reyes Station, CA 94956
Phone 415-787-1123
Mailing address
Po Box 910Point Reyes Station, CA 94956-0910
Phone 415-663-8781
Authorized official
Dinelle Marie Abram
Administrative Assistant
4156638781
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