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Organization

COASTAL WOMEN'S HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHERYL L NORTHEY M.D. (PRESIDENT)
(831) 786-1457
Entity
Organization

Contact information

Practice address
65 NEILSON ST, STE 101, WATSONVILLE, CA 95076-2491
(831) 786-1457
(831) 786-1457
Mailing address
65 NEILSON ST, STE 101, WATSONVILLE, CA 95076-2491
(831) 786-1457
(831) 786-1457

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DC1618
RAILROAD MEDICARE
CA
05
GR0085820
CA
Enumeration date
02/09/2007
Last updated
08/22/2020
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