Organization
COAST FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW J HENNING MD (OWNER/PHYSICIAN)
(805) 928-3636
Entity
Organization
Contact information
Practice address
607 E PLAZA DR STE C-201, SANTA MARIA, CA 93454-6944
(805) 928-3636
(805) 928-3608
Mailing address
607 E PLAZA DR STE C-201, SANTA MARIA, CA 93454-6944
(805) 928-3636
(805) 928-3608
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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