Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
DEPARTMENT OF STATE HOSPITAL COALINGA
Active
Organization
DEPARTMENT OF STATE HOSPITAL COALINGA
Active
Other names
Coalinga State Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEOUNG PARK (CLINICAL PSYCHOLOGIST)
(559) 934-3201
Entity
Organization
Contact information
Practice address
24511 W JAYNE AVE, COALINGA, CA 93210-9516
(559) 935-4300
Mailing address
24511 W JAYNE AVE, COALINGA, CA 93210-9516
(559) 935-4300
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up