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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