Coastside Family Medical Clinic, Inc | |
225 Cabrillo Hwy S Ste 100a Half Moon Bay CA 94019-1738 | |
(650) 712-7330 | |
(650) 726-9317 |
Full Name | Coastside Family Medical Clinic, Inc |
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Speciality | Family Medicine |
Location | 225 Cabrillo Hwy S Ste 100a, Half Moon Bay, California |
Authorized Official Name and Position | Robert V Harless (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 6507127330 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Coastside Family Medical Clinic, Inc 225 Cabrillo Hwy S Ste 100a Half Moon Bay CA 94019-1738 Ph: (650) 712-7330 | Coastside Family Medical Clinic, Inc 225 Cabrillo Hwy S Ste 100a Half Moon Bay CA 94019-1738 Ph: (650) 712-7330 |
NPI Number | 1508916628 |
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Provider Enumeration Date | 01/11/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508916628 | NPI | - | NPPES |
CMM70942F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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