| Coastside Health And Medical Clinic, Inc. | |
|
1618 Sullivan Ave #208 Daly City CA 94015-1967 | |
| (650) 994-4444 | |
| (650) 994-3051 |
| Full Name | Coastside Health And Medical Clinic, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1618 Sullivan Ave, Daly City, California |
| Authorized Official Name and Position | Christopher Hermanson (MEDICAL OFFICER) |
| Authorized Official Contact | 6509944444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastside Health And Medical Clinic, Inc. 1618 Sullivan Ave #208 Daly City CA 94015-1967 Ph: (650) 994-4444 | Coastside Health And Medical Clinic, Inc. 1618 Sullivan Ave #208 Daly City CA 94015-1967 Ph: (650) 994-4444 |
| NPI Number | 1700253556 |
|---|---|
| Provider Enumeration Date | 08/27/2015 |
| Last Update Date | 08/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700253556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A67810 (California) | Primary |
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