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Organization
COASTLINE COMMUNITY HEALTH
Active
Organization
COASTLINE COMMUNITY HEALTH
Active
Other names
Dogtown Community Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RHONDA JESSUM PH.D. (FOUNDER AND DIRECTOR)
(818) 880-0250
Entity
Organization
Contact information
Practice address
2009 MAIN ST, SANTA MONICA, CA 90405-1021
(818) 880-0250
Mailing address
4831 LAS VIRGENES RD # 177, CALABASAS, CA 91302-1911
(818) 880-0250
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
PSY-1519
HI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
PSY15775
CA
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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