Organization
COASTSIDE HEALTH AND MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER HERMANSON M.D. (MEDICAL OFFICER)
(650) 994-4444
Entity
Organization
Contact information
Practice address
1618 SULLIVAN AVE, #208, DALY CITY, CA 94015-1967
(650) 994-4444
(650) 994-3051
Mailing address
1618 SULLIVAN AVE, #208, DALY CITY, CA 94015-1967
(650) 994-4444
(650) 994-3051
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A67810
CA
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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