Coastal Family Dermatology, Pc

NPI 1174927073 - Dermatology - 207NS0135X

NPI Details
NPI 1174927073
Enumeration Date 10/21/2014
Last Updated 01/02/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name CHRISTINE DENISE CHRISTINE
Position M.D./OWNER
Phone (805) 554-5567
Fax (805) 544-3265
Practice Location
990 PACIFIC ST
SAN LUIS OBISPO CA, 93401-6309, US
Phone (805) 554-5567
Fax (805) 544-3265
Business Location
990 PACIFIC ST
SAN LUIS OBISPO CA, 93401-6309, US
Phone (805) 544-5567
Fax (805) 544-3265
Toxanomy
Taxonomy Code 207NS0135X
License State California
License Number A72400
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According to our database, Coastal Family Dermatology, Pc NPI is 1174927073, taxonomy code is 207NS0135X and license number is A72400, license state is located at California. Coastal Family Dermatology, Pc physically located at 990 Pacific St, San Luis Obispo CA, 93401-6309. NPI Number 1033115704 has the healthcare provider type.

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1174927073 NPI number is provided on an as is basis without warranty of any kind. 1174927073 is maintained by the National Plan & Provider Enumeration System. The contents of Coastal Family Dermatology, Pc are for informational purposes only.