Organization
CENTRAL COAST DERMATOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD M HAMBLEY MD (PRESIDENT)
(831) 648-8000
Entity
Organization
Contact information
Practice address
977 PACIFIC ST, SUITE B, MONTEREY, CA 93940-4400
(831) 648-8000
Mailing address
977 PACIFIC ST, SUITE B, MONTEREY, CA 93940-4400
(831) 648-8000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
FNP37805
CA
Other
Enumeration date
09/10/2008
Last updated
07/23/2013
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