# PACIFIC COAST ALLERGY

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

## Provider details

- **NPI number:** 1871754432
- **Authorized official:** MS. ELISE K. WILLIAMS PA-C (PHYSICIAN ASSISTANT CERTIFIED)
- **Authorized official phone:** (707) 464-3430

## Contact information

- **Practice address:** 1585 S RAILROAD AVE, CRESCENT CITY, CA 95531-6821
- **Practice address phone:** (707) 464-3430
- **Practice address fax:** (707) 464-4668
- **Mailing address:** 1585 S RAILROAD AVE, CRESCENT CITY, CA 95531-6821
- **Mailing address phone:** (707) 464-3430
- **Mailing address fax:** (707) 464-4668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | PA14562 | CA | Yes |

## Other

- **Enumeration date:** 06/17/2008
- **Last updated:** 06/17/2008