# PACIFIC COAST PSYCHIATRIC ASSOCIATES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063044410
- **Authorized official:** ANISHA PATEL-DUNN (CEO)
- **Authorized official phone:** (415) 409-0944

## Contact information

- **Practice address:** 4540 KEARNY VILLA RD STE 103, SAN DIEGO, CA 92123-1564
- **Practice address phone:** (858) 259-1223
- **Practice address fax:** (858) 467-7161
- **Mailing address:** 490 POST ST STE 1043, SAN FRANCISCO, CA 94102-1301
- **Mailing address phone:** (925) 231-4325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | Yes |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/04/2020
- **Last updated:** 11/02/2023