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Coastline Community Health

Clinic/Center, Mental Health (Including Community Mental Health Center) in Santa Monica, CA. Organization (NPI-2).

NPI number1679967475
StatusActive
Last updated in NPPESMar 19, 2015

Details

NPI
1679967475
Entity type
Organization (NPI-2)
Legal business name
Coastline Community Health
Organization subpart
No
Enumeration date
Mar 19, 2015
Last updated
Mar 19, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)PSY15775CAYes
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)PSY-1519HI

Other names

  • Dogtown Community Health (Doing Business As)

Practice location

2009 Main St
Santa Monica, CA 90405-1021

Phone 818-880-0250

Mailing address

4831 Las Virgenes Rd # 177
Calabasas, CA 91302-1911

Phone 818-880-0250

Authorized official

Rhonda Jessum
Founder And Director
8188800250

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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