Organization
DEPARTMENT OF STATE HOSPITAL COALINGA
Active
Other names
Coalinga State Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEOUNG PARK (CLINICAL PSYCHOLOGIST)
(559) 934-3201
Entity
Organization
Contact information
Practice address
24511 W JAYNE AVE, COALINGA, CA 93210-9516
(559) 935-4300
Mailing address
24511 W JAYNE AVE, COALINGA, CA 93210-9516
(559) 935-4300
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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